We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Labor Forms
  • New York Labor Forms
  • Ny C-32-i 2020

Get Ny C-32-i 2020-2025

SETTLEMENT AGREEMENT Section 32 WCL Indemnity Only Settlement Agreement PO Box 5205, Binghamton, NY 139025205 www.wcb.ny.govWCB CASE NO.DATE OF ACCIDENTCLAIMANT'S NAME (Please Print) CLAIMANT'S ADDRESS.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the NY C-32-I online

The NY C-32-I form is an essential document for individuals involved in the settlement process under Section 32 of the Workers' Compensation Law. This guide provides clear instructions to assist users in completing this form online efficiently and accurately.

Follow the steps to complete the NY C-32-I online.

  1. Press the ‘Get Form’ button to obtain the NY C-32-I form and open it for editing.
  2. Fill in the required fields, including the WCB case number, date of the accident, claimant's name, and their address. Ensure this information is accurate as it is crucial for your case.
  3. Complete fields for the carrier case number and carrier code, as well as the employer's name and carrier's name, ensuring all entries are clear and legible.
  4. Review Section 1 regarding claims subject to the agreement, and specify whether the claims are accepted by the carrier, detailing any injuries if applicable.
  5. In Section 2, provide information about indemnity benefits, including weekly payments made to date and define any waivers for overpayment by checking the appropriate boxes.
  6. Fill out Section 3, ensuring you understand the waiver of medical treatment, specifying your rights to medical treatment for established injuries.
  7. Complete Section 4 detailing the waiver of indemnity benefits and confirm your understanding of this waiver.
  8. Detail the settlement amount in Section 5, including total amounts payable to the claimant and any attorney fees applicable.
  9. In Section 6, indicate if there are any child support arrears and how they will be addressed, selecting the appropriate option.
  10. Review Sections 7 to 9, detailing any third-party action, appeals, and any other terms that apply to your agreement.
  11. After completing all sections, save your changes. Finally, download, print, or share the completed NY C-32-I form as needed.

Begin completing the NY C-32-I form online today for a smooth filing experience.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

On the Job Injury - Section 32 Agreements
Section 32 Waiver Agreements are a negotiated agreement between the injured worker and the...
Learn more
Local Law 32 - InfoHub
Jun 11, 2014 — “Chancellor” shall mean the chancellor of the New York city...
Learn more
Flatiron Building - Wikipedia
The Flatiron Building, originally the Fuller Building, is a triangular 22-story...
Learn more

Related links form

2010 5310 Application-PART I-PRINTABLE FORM.doc - Dot Ny Project Application Procedure - Dot Ny NEW YORK STATE DEPARTMENT OF TRANSPORTATION DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 C - Dot Ny 102-11 EQUAL EMPLOYMENT OPPORTUNITY REQUIREMENTS ... - Dot Ny

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

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.

Workers' Compensation coverage is not required if the business is a one or two person owned corporation, with those individuals owning all of the stock and holding all offices of the corporation (each individual must hold an office and own at least one share of stock).

The limited exceptions to this “exclusive remedy” rule include (i) where the employer fails to obtain workers' compensation insurance coverage for an injured employee, (ii) where the employer intentionally injured an employee, and (iii) where the injured person happens to be an employee of the N.Y.P.D., F.D.N.Y., or ...

Workers Compensation cases can sometimes settle shortly after an injury (within a few weeks or a couple of months), or they can take years. The average workers' compensation case will take about 16 months to be resolved. A resolution may result in a settlement agreement or a hearing with a judge.

A Section 32 Waiver Agreement is a negotiated settlement between you and the insurer. It ends your right to ongoing and future benefits in exchange for a lump sum payment or an annuity today. It is a serious decision that you must consider carefully before making the agreement.

Workers' compensation claims may not be released or waived unless the employer and employee follow a prescribed settlement process. A release agreement executed after an employee has filed a workers' compensation claim is valid if the release has been approved by the New York State Workers' Compensation Board (N.Y.

Is Workers' Compensation Coverage Required? Virtually all employers in New York State must provide workers' compensation coverage for their employees (WCL §2 and 3).

Only two types of entities may apply for a certificate to show they are exempt from the requirement to provide workers' compensation and/or disability and Paid Family Leave benefits coverage when obtaining a license, permit or contact with a government agency: New York entities with no employees.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get NY C-32-I
Get form
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
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