Request For Further Action By Insurer-Employer {RFA-2} | Pdf Fpdf Docx | New York

 New York   Workers Compensation 
Request For Further Action By Insurer-Employer {RFA-2} | Pdf Fpdf Docx | New York

Last updated: 6/23/2023

Request For Further Action By Insurer-Employer {RFA-2}

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Description

RFA-2 - REQUEST FOR FURTHER ACTION BY INSURER/EMPLOYER. This form is used by insurers, self-insurers, or the Special Funds Group in the State of New York's Workers' Compensation Board to request further action regarding a specific claim. The form requires the submission of relevant information and documentation supporting the requested action. The form allows for various actions related to compensation, medical issues, and other matters. The requesting party must certify that they have discussed the issue with the opposing party or attempted to contact them. Failure to provide this certification may result in no action being taken on the request. www.FormsWorkflow.com

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