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New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)

State:
New York
Control #:
NY-C-251.2-WC
Format:
PDF
Instant download

Description

This form is an official New York Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law. New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) is a form used by New York carriers to request reimbursement for payments made to employees for compensation purposes under Section 14(6) of the Workers’ Compensation Law. The form includes the name of the carrier, the date the payment was made, the amount of the payment, the name of the employee, and the reason for the payment. The form must be accompanied by the appropriate supporting documentation, such as a letter from the employee stating the amount of the payment and the purpose for the payment. There are two types of New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper): Form C-240 (Request for Reimbursement of Compensation Payments) and Form C-241 (Request for Reimbursement of Medical Payments).

New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper) is a form used by New York carriers to request reimbursement for payments made to employees for compensation purposes under Section 14(6) of the Workers’ Compensation Law. The form includes the name of the carrier, the date the payment was made, the amount of the payment, the name of the employee, and the reason for the payment. The form must be accompanied by the appropriate supporting documentation, such as a letter from the employee stating the amount of the payment and the purpose for the payment. There are two types of New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper): Form C-240 (Request for Reimbursement of Compensation Payments) and Form C-241 (Request for Reimbursement of Medical Payments).

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New York Carriers Request For Reimbursement of Compensation Payments Under Section 14(6) (Blue Paper)