Stipulation {C-300.5} | Pdf Fpdf Docx | New York

 New York   Workers Compensation 
Stipulation {C-300.5} | Pdf Fpdf Docx | New York

Last updated: 9/11/2025

Stipulation {C-300.5}

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Description

C-300.5 - STIPULATION. This form is used in New York to record an agreement between the parties involved in a workers’ compensation case regarding certain facts or proposed findings. By signing this stipulation, the claimant, employer or insurance carrier, and any other interested parties acknowledge that they understand the legal effect of their agreement and voluntarily consent to its terms. The form may also address attorney fee arrangements, substitution of legal representatives, and the withdrawal of pending appeals. Once approved by a Workers’ Compensation Law Judge or conciliator, the stipulation becomes part of the official decision of the Workers’ Compensation Board and is legally binding on all parties. www.FormsWorkflow.com

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