NY Direct Deposit Instructions and Election Form

EMERGENCY AND AFTER HOURS CLAIM REPORTING TELEPHONE NUMBERS:

Workers’ Compensation

(609) 653-8400

or

(800) 367-0138

PROPERTY CLAIMS:

Cell (609) 402-5218 







An injured worker or person entitled to a death benefit may elect to receive workers’ compensation indemnity or death benefits by direct deposit to a bank account or bank accounts in the name of the injured worker or person entitled to a death benefit. Such election is not required to be offered for payment of fees due to the representative of the injured worker or person entitled to a death benefit or for payments due to a treating medical provider for payment of medical bills.



Please click the below link to download the form.


NY Direct Deposit Instructions and Election Form (pdf)





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