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Get NY IS-1R 2013-2024

L SPECIALIST IMPORTANT INSTRUCTIONS TO PHYSICIANS You must apply for renewal at least 60 days prior to the end of your current 5 year term. Complete both sides of this application. All entries are to be typewritten or printed clearly. Return the completed form to the Workers' Compensation Board, Medical Director's Office, 100 Broadway-Menands, Albany, NY, 12241. If you have any questions regarding the completion of this form, you may contact us at the above noted address or call 1-800-781-2362.

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