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Attorney-Representatives Certification Of Form C-3 Or Notice Of Controversy Form. This is a New York form and can be use in Workers Compensation.38 on reverse of this form for complete filing instructions). 3 forms follow the text of this document. NY Form C-105 – Notice of Compliance – Workers' Compensation Law . I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. These are the most frequently requested U.S. Department of Labor forms. You can complete some forms online, while you can download and print all others. Items 1 - 7 — 202. 7 Calendaring of motions; uniform notice of motion form; .