Get Ny Claim And Release Form 2019-2025

This guide provides comprehensive instructions on how to complete the NY Claim And Release Form online. It is designed to assist users through each component of the form, ensuring a smooth process for submission.

Follow the steps to fill out the NY Claim And Release Form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the claim section, begin by entering your full name where prompted. Ensure this is your legal name as it appears on official documents.
3. Next, provide your residence address, including street name, city, state, and zip code. Accuracy is important here.
4. You will also need to enter your telephone number in the appropriate field.
5. Indicate the agency you are filing the claim against by writing the name of the New York State agency.
6. Clearly state the amount of your claim both in written form and as numbers. Make sure the amounts are accurate.
7. Proceed to describe the incident that led to your claim. Be concise but provide enough detail for clarity. If necessary, attach additional pages.
8. Sign the claim section where indicated. Remember, this is your declaration of the facts surrounding your claim.
9. Have the claim section notarized as required, ensuring all information is accurate and complete.
10. In the release section, fill in the amount you are acknowledging as received from the State of New York.
11. Sign the release section to confirm that you are relinquishing all claims related to this matter.
12. Have the release section notarized as well.
13. Upon completing both sections, ensure you have three copies of the document with original signatures.
14. Finally, save your changes, download, print, or share the completed form as needed according to your submission guidelines.

Start completing your NY Claim And Release Form online today.