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CLAIMANT'S REQUEST FOR FURTHER ACTION

CLAIMANT'S REQUEST FOR FURTHER ACTION 2025

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The document is a form from the New York Workers' Compensation Board for claimants to request further action on their workers' compensation cases. It outlines the process for submitting the form, including necessary information and evidence, and specifies that it should not be used to appeal decisions. The form allows claimants to indicate reasons for their request, such as denied medical treatment or changes in medical condition, and emphasizes the importance of sending copies to relevant parties.

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