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WebComplete the identifying information at the top of Form RFA-1W and send the form, WITH ALL APPLICABLE INFORMATION ATTACHED*, to: Workers' Compensation Board PO Box 5205 Binghamton, NY 13902-5205 Address for Email Filing: [email protected] Statewide Fax Line: (877) 533-0337 The Board will contact you and all parties when it … WebJun 30, 2024 · Request for Assistance by Injured Worker (Form RFA-1W) Volunteer Ambulance Worker's Claim for Benefits (Form VAW-3) Volunteer Firefighter's Claim for Benefits (Form VF-3) Volunteer's Notification of Executive Officer of Fire/Ambulance Company of Significant Risk of Transmission of HIV Per VFBL/VAWBL Section 11-c (1) … election results etobicoke south
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