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The New York State Workers’ Compensation Board (Board) has updated the authorization process for unrelated parties-of-interest to request and receive Board records related to a claim. A new Case Copies Request Form (Form OC-RR) has been created to request specific records, and Claimant's Authorization to Disclose Workers' Compensation Records (Form OC-110A), used for requesting authorization, has been updated.
The following guidance provides full details regarding the updated process and related form updates.
Important dates
The updated Form OC-RR and Form OC-110A will be available on June 11, 2026. The previous version of Form OC-110A will be accepted through September 9, 2026. Requests received after September 9, 2026, must be made using the updated form. Submissions received on the previous version of Form OC-110A after September 9, 2026, will not be accepted.
Valid submission of an original, verified wet signature Form OC-110A on file as of September 9, 2026, will continue to be valid. It is not necessary to submit a new form.
How to submit
A signed, witnessed, and scanned Form OC-110A and completed Form OC-RR can be submitted using one of the following methods:
A few important notes:
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Valid submission of Form OC-110A permits the individuals or entities listed to receive information and/or copies of case documents but does not automatically trigger the sending of such documents.
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Requests for copies of case documents may be submitted along with or after Form OC-110A on Form OC-RR.
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Unrelated party-of-interest requestors authorized under Form OC-110A must submit all records requests using Form OC-RR. Alternate formats will not be honored.
Claimants may authorization in writing at any time by any Board-accepted submission method, including email. There is no prescribed format for revocation.
Additional updates to Form OC-110A
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Two separate individuals or entities can now be listed as the authorized recipient of records to facilitate when a requester uses a records-retrieval agent.
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A witness signature and witness contact information is now required. Submission of an original wet-signature form is no longer required.
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Instructions for signing as a power of attorney or other authorized representative have been expanded for clarity.
More information
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