Bookmark this post if you would find it useful to have access to the 15 individual prescribed no-fault claim forms comprising the complete set. Those forms are the:
- NF-1A (Rev 1/2004) Cover Letter
- NF-1B (Rev 1/2004) Cover Letter
- NF-2 (Rev 1/2004) Application for Motor Vehicle No-Fault Benefits
- NF-3 (Rev 1/2004) Verification of Treatment by Attending Physician of Other Provider of Health Service
- NF-4 (Rev 1/2004) Verification of Hospital Treatment
- NF-5 (Rev 1/2004) Hospital Facility Form
- NF-6 (Rev 1/2004) Employers Wage Verification Report
- NF-7 (Rev 1/2004) Verification of Self-Employment Income
- NF-8 (Rev 1/2004) Agreement to Pursue Social Security Disability Benefits
- NF-9 (Rev 1/2004) Agreement to Pursue Workers' Compensation or N.Y.S. Disability Benefits
- NF-10 (Rev 1/2004) Denial of Claim Form
- NF-11 (Rev 1/2004) Additional PIP Subrogation Agreement
- NF-12 (Rev 1/2004) Lump-Sum Settlement Agreement
- NF-13 (Rev 1/2004) Election of Option -- Optional Basic Economic Loss Coverage
- NF-AOB (Rev 1/2004) Assignment of Benefits Form
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