The State of New York Workers' Compensation Board facilitates the OC-400 form, a crucial document within the ecosystem of workers' compensation, designed to navigate legal representations and attorney-client relationships effectively. This form serves multiple purposes, including notifying the Board of a claimant's retention of representation, substitution of an attorney, or both, in all proceedings linked to a claim under various laws such as the Workers' Compensation Law, Disability Benefits Law, and others applicable to volunteer firefighters and ambulance workers. It necessitates detailed information on the claimant, employer or liable party, insurer, and the attorney or representative involved, aiding in the transparent conveyance of procedural changes and ensuring all parties are duly informed. The form also mandates claimant authorization for their attorney or representative to request and obtain necessary medical records, addressing legalities around information privacy and sharing. The OC-400 underscores the administrative processes involved in changing legal representation and stipulates compliance with the Board’s rules, highlighting the importance of adherence to specified protocols to ensure claimant’s rights and legal support mechanisms are preserved and recognized throughout the compensation claim process.
| Question | Answer |
|---|---|
| Form Name | Form Oc 400 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Conciliator, VAWBL, WCL, 12NYCRR |