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ATTENDING PSYCHOLOGIST'S REPORT 48 HR. 15 DAY INITIAL WCB CASE NO. INJURED PERSON 90 DAY PROGRESS INITIAL SEE ITEM 1 ON REVERSE FOR FILING INSTRUCTIONS CARRIER CASE NO. (IF KNOWN) (First Name) STATE.

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New York Workers' Compensation Rates ing to a 2018 report, NY workers' compensation rates are among the highest in the nation, averaging $3.00 - $3.49 per $100 in payroll. New York rates are set by the New York Workers' Compensation Board.

Minimum Weekly Benefit The weekly benefit cannot be less than the minimum benefit amount. The minimum benefit amount is $150.00 per week for accidents occurring after 5/1/13.

Your AWW is calculated by dividing your total gross earnings by 52. For example, if your gross earnings are $“x”, you would divide “x” by 52 to obtain your AWW.

Date of AccidentWeekly Maximum Total / PartialJuly 1, 2020 - June 30, 2021$966.78 / $966.78July 1, 2019 - June 30, 2020$934.11 / $934.11July 1, 2018 - June 30, 2019$904.74 / $904.74July 1, 2017 - June 30, 2018$870.61 / $870.6116 more rows

(877) 632-4996.

WCL 114-a provides the NYS Workers' Compensation Board with the authority to disqualify a claimant from receipt of lost time benefits, “[i]f for the purpose of obtaining compensation pursuant to section fifteen of this chapter, or for the purpose of influencing any determination regarding any such payment, a claimant ...

Section 11 of the New York Workers' Compensation Law also bars third parties from suing an injured worker's employer for contribution or contractual indemnification unless the employee has sustained a “grave injury” as defined by law.

ingly, the maximum weekly benefit rate will be $1,125.46 for compensable lost time for workers' compensation claims with dates of injury during the period from July 1, 2022, through June 30, 2023.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232