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Get NY C-32-I 2016-2024

IMANT'S ADDRESS (Please Print) CARRIER CASE NO. CARRIER CODE EMPLOYER (Please Print) CARRIER (Please Print) This Agreement is prepared and submitted pursuant to Section 32 of the Workers' Compensation Law. By signing below, each party to the Agreement affirms that (s)he has read and understands its provisions, and understands that the Agreement, if approved by the Workers' Compensation Board, is conclusive, final and binding on all the parties involved. By this Agreement, the parties settle.

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