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April 08, 2025

New York State's Workers' Compensation Board has issued updates to its Forms C-300.5 and C-312.5 and which are now in effect

The New York State Workers' Compensation Board (Board) has updated its  Stipulation (Form C-00.5) and Agreed Upon Findings and Awards for Proposed Conciliation Decision (Form C-312.5).

Both updated forms, which are currently in effect, now include fields to: 

  • Provide information on claimant representatives, substitutions, and related fee requests/agreements.   
  • Denote whether the case has a pending appeal. 

In addition, Form C-312.5 now includes the date the RB-89 was filed and will hereby be withdrawn when the Board decision becomes final. 

The Board requests that those filing such forms ensure that these updated forms are used to avoid processing delays. 

Translated versions of these forms will be posted on the Board's website when they become available. 

Nota bene: Older versions of the C-300.5 and C-312.5 forms will not be accepted after Monday, July 7, 2025.

Need More Information 

If you have any questions or concerns regarding these updates, please contact the officeofgeneralcounsel@wcb.ny.gov.  



NYPPL Publisher Harvey Randall served as Principal Attorney, New York State Department of Civil Service; Director of Personnel, SUNY Central Administration; Director of Research, Governor’s Office of Employee Relations; and Staff Judge Advocate General, New York Guard. Consistent with the Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations, the material posted to this blog is presented with the understanding that neither the publisher nor NYPPL and, or, its staff and contributors are providing legal advice to the reader and in the event legal or other expert assistance is needed, the reader is urged to seek such advice from a knowledgeable professional.

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