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NYS Workers ' Compensation Board, Centralized Mailing, PO Box 5205, Binghamton, NY 13902-5205 Customer Service Toll-Free Line: 877-632-4996 THIS AGENCY EMPLOYS AND SERVES PEOPLE WITH DISABILITIES.

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How to fill out the Oc 400 1 online

This guide provides clear and comprehensive instructions for filling out the Oc 400 1 form online. Designed for users with varying levels of experience, it will walk you through each section to ensure a smooth and efficient submission process.

Follow the steps to successfully complete your Oc 400 1 form online.

  1. Click ‘Get Form’ button to access the form and open it in the online editor.
  2. Enter your WCB Case Number in the designated field at the top of the form.
  3. Provide the claimant's name clearly as it appears in the records.
  4. If applicable, include the representative's identification number in the specified section.
  5. Input the claimant's Social Security Number accurately in the appropriate field.
  6. Fill in the date you retained the attorney or representative in the 'Date Retained' section.
  7. List the total amount of fees previously received, if any, where indicated.
  8. In the services rendered section, detail each service provided to the claimant, including the date, a description, and the time spent on each service. Also, include any disbursements incurred.
  9. For substitution of attorney, indicate if the claimant had any previous attorney and whether notice of substitution was served.
  10. Complete the fee request details, stating the specific amount requested for the services rendered.
  11. Sign and date the application at the bottom of the form.
  12. Review all information for accuracy, then save changes, download, print, or share the completed form as needed.

Start filling out your Oc 400 1 form online today to ensure timely processing of your fee request.

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Get Oc 400 1
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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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 WorkFlow
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
Oc 400 1
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