The requisite forms for submission to the Board are available below. Any questions regarding the forms, schedule or submission requirements may be submitted via email to SpecialFunds@wcb.ny.gov.
- Subject No. 046-1063R Procedural Updates on Special Funds Group Reimbursement and Establishment of Section 15(8) Claims
- Subject No. 046-1063 Procedural Updates on Special Funds Group Reimbursement and Establishment of Section 15(8) Claims
- C-251 - Insurer's Request Reimbursement of Indemnity Payments Under WCL Section 14(6) or Section 15(8) (MS Excel)
- C-251.1 - Insurers Request For Reimbursement Of Medical Payments Under WCL §15(8)
- C-251.6 - Insurer's Request for Reconsideration of Reduction Under WCL Section 14(6) or Section 15(8)
- C-251N - Insurer's Notification of Initial Request for Reimbursement Under WCL Section 14(6) or Section 15(8)