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Workers Compensation Board All Common Forms - NY.gov
Form Number/ Version DateForm TitleWho FilesAFF‑1 (6‑16)Affidavit For Death BenefitsClaimant (seeC‑3 (6/22) Paper VersionEmployee ClaimEmployeeC‑3.3 (12/09)Limited Release of Health Information (HIPAA)Claimant
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