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Resources

Websites of Interest

Important Forms

  • New York State IME-3
    State of New York Workers' Compensation Board Practitioner's Report of Request For Information / Response to Request Practitioner's Report of Request for Information / Response to Request
  • New York State IME-4
    Practitioner's Report of Independent Medical Examination
  • New York State IME-5
    Claimant's Notice of Independent Medical Examination under Section 137 WCL
  • New York State MG-1
    Attending Doctor's Request for Optional Prior Approval and Carrier's/Employer's Response
  • New York State MG-1.1
    Continuation to Form Mg-1, Attending Doctor's Request for Optional Prior Approval
  • New York State MG-2
    Attending Doctor's Request for Approval of Variance and Carrier's Response
  • New York State MG-2.2
    Continuation to Form Mg-2, Attending Doctor's Request for Approval of Variance
  • New York State FCE-4
    Practitioner's Report of Functional Capacity Evaluation
  • New York State NF-10
    New York Motor Vehicle No-Fault Insurance Law Denial of Claim Form
  • New York State No-Fault Application
    New York Motor Vehicle No-Fault Insurance Law Application for Motor Vehicle No-Fault Benefits