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NYS New York State Workersâ€™ Compensation Board fact sheet benefits insurance non-occupational illness injury entitlements statement of Rights DB-271S DB-271S (12/23) Notice and Proof of Claim for Disability Benefits Form DB-450 Notice of Denial Form DB-DEN Notice of Rejection Form DB-451 Family Leave PFL lost wages medical treatment employer's insurance carrier form NYS Workersâ€™ Compensation Board JP Munyan - Designer Statement of Rights: Disability Benefits (DB-271S) 2023-12-28T11:13:02-05:00 2023-12-28T11:14:53-05:00 2023-12-28T11:14:53-05:00 Adobe InDesign 17.4 (Macintosh) uuid:1ab008ff-7366-324c-97a4-90fb4a4af4a3 xmp.did:9feee0d1-ccc5-7a47-93a0-47b5a06eb109 xmp.id:c1613c0b-8803-480d-b0b3-7c4a2843da36 proof:pdf xmp.iid:bc4db565-391a-4f18-8e8f-655c8784a340 xmp.did:9afda1c2-07ba-4531-9b34-44eddbb24438 xmp.did:9feee0d1-ccc5-7a47-93a0-47b5a06eb109 default converted from application/x-indesign to application/pdf Adobe InDesign 17.4 (Macintosh) / 2023-12-28T11:13:02-05:00 Adobe PDF 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