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Get Ny Vf-1 1997-2026
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How to fill out the NY VF-1 online
The NY VF-1 form is an important document that serves as a notice to the liable political subdivision of a volunteer firefighter's injury or death. Completing this form accurately is crucial to ensure proper notification within the required time frame.
Follow the steps to complete the NY VF-1 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling in the 'To' section with the name and title of the designated officer for the liable political subdivision.
- Next, provide the name of the officer, including first name, middle initial, and last name.
- Indicate the political subdivision liable for benefits and enter the home address, including apartment number if applicable.
- In the 'Volunteer Firefighter' section, input the full name and address of the volunteer firefighter involved.
- Provide details of the fire company, political subdivision, or fire district related to the incident.
- If applicable, fill in the regular employer's information, if the volunteer firefighter has one.
- Describe the address and community where the injury occurred in detail.
- Document the date of the injury and time it occurred in the format specified, along with the date of death if appropriate.
- State the place of death, if applicable.
- Clearly describe the nature and cause of the injury or death in the designated section.
- Finally, date the form and sign it either as the volunteer firefighter or by a person representing them, ensuring to include the relationship of the signer.
Complete your documents online to ensure timely filing and adherence to requirements.
The C-11 form is required for filing a claim for accident benefits in New York. It serves as a declaration of the employee’s injuries, detailing the circumstances of the incident. Completing this form accurately is vital to streamline your claims process and receive compensation swiftly.
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