Notice Of Retainer And Appearance Or Notice Of Substitution And Appearance {OC-400} | Pdf Fpdf Docx | New York

 New York   Workers Compensation 
Notice Of Retainer And Appearance Or Notice Of Substitution And Appearance {OC-400} | Pdf Fpdf Docx | New York

Last updated: 6/16/2023

Notice Of Retainer And Appearance Or Notice Of Substitution And Appearance {OC-400}

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Description

OC-400 - NOTICE OF RETAINER AND APPEARANCE/NOTICE OF RETAINER AND APPEARANCE - APPELLATE ATTORNEY/NOTICE OF SUBSTITUTION AND APPEARANCE. This form is used by attorneys or representatives in workers' compensation cases in New York. It notifies the Workers' Compensation Board, insurance carrier, and other parties about the attorney/representative's retention or substitution. The form collects personal information, authorizes access to medical records, and certifies transmittal to the insurance carrier/self-insured employer/employer. It also includes instructions and regulations regarding fees and procedures. www.FormsWorkflow.com

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