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Fill and Sign the Notice to Chairman Regarding Possibility of Processing Case on Form

Fill and Sign the Notice to Chairman Regarding Possibility of Processing Case on Form

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STATE OF NEW YORK WORKERS' COMPENSATION BOARD NOTICE TO CHAIRMAN REGARDING POSSIBILITY OF PROCESSING CASE ON ADMINISTRATIVE DETERMINATION Carrier Case Number Date of Accident W.C.B. Case Number Code Number Name Address 1. Employer 2. Insurer 3. Injured Person The above claim is one which we feel should be considered for administrative determination processing. The attached documents would indicate the following: 1. C-2 or other form indicates accident and notice established for date of accident. 2. C-4 or other medical report indicates causal relationship established for C-240 indicates average weekly wage equals $ carrier concedes maximum. 3. No [ ] 4. C-11 indicates claimant returned to work. at a rate of Attached C-8 shows payments made from to 5. If the rate was adjusted or reduced, reason. Additional board forms, C-6 or C-9 filed on 6. Employer request reimbursement for wages paid from to 7. Any additional comments: If after having reviewed the attached forms, please call if there are any questions. We can be reached at phone number (518) 220-1111. If you need to fax your request, please fax me directly at 1- 877-737-6232. Date: Title: Yes [ ]

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