New York Renewal Application For License To Appear On Behalf of Claimant is a form that must be completed by an attorney or other qualified representative who wishes to represent a claimant before the New York State Workers' Compensation Board. In order to be eligible to renew this license, the representative must have a valid New York State attorney or other qualified representative license, must have completed at least 30 hours of workers' compensation law related continuing legal education courses within the past 3 years, and must have a clean record with the New York State Office of Court Administration. There are two types of New York Renewal Application For License To Appear On Behalf of Claimant: renewal applications for attorneys and for representative applicants. The renewal application for attorneys requires completion of the Renewal Form, plus the submission of a copy of a valid New York State attorney or other qualified representative license. The renewal application for representative applicants requires completion of the Renewal Form, plus the submission of a copy of a valid New York State representative license.
New York Renewal Application For License To Appear On Behalf of Claimant
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How to fill out New York Renewal Application For License To Appear On Behalf Of Claimant?
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FAQ
Yes, you can. You should confirm that the information contained on the online application is current and then complete the process. How much does it cost to renew my license online?
If the license has been expired for less than 2 years, you must meet all Continuing Education (CE) requirements to relicense. If the license has been expired for more than 2 years, you must requalify for the license. Agents: All appointments are automatically terminated when the license expires.
SI-12 (7/09) Affidavit Certifying That Compensation Has Been Secured. Employers with Board-approved self-insurance for workers' compensation. Filed with the government agency issuing a permit, license or contract. The SI-12 must be completed by the Board's Self-Insurance Office and approved by the Board's Secretary.
Worker's compensation form completed when the patient first seeks treatment for a work-related illness or injury. It does not contain a signature line. It is filed with State Worker's Compensatin Board/Commission.
If you filed a claim and were assigned a number, you can call (646)264-3000 for information about your claim. If you are a U.S. Department of Labor employee, please call (816)502-0301 for claim status information.