Legal Forms >> New York >> Workers' Compensation
Form #:NY-WC-AFF-3
Name:Affidavit for Death Benefits - No Surviving Spouse or Dependent Children Form Number: NY-WC-AFF-3 State:New York Statute: Form Category:Workers' Compensation
This form is only available as a downloadable PDF which will be made available to you after you complete your purchase.
Search MillerDavis.com for legal forms and specialty products.
All of our forms include standard shipping at no additional cost.