Common Forms

For your convenience, we at the Steenberg Law Firm provided access to common forms used in a New York workers’ compensation case. Please note that these forms are in PDF format. You may need the latest version of Adobe Reader which is available as a free download from Adobe’s website.

If you have trouble opening a form:

1. Download/save the form onto your computer
2. Open Adobe Reader
3. Open the saved file

If you have any questions about filling out these forms please call our office at 716-288-5563 as we are more than happy to provide assistance.

HIPPA Release Form

Job Search Logs

Mileage, Travel, Medication Reimbursement Request Form

WC and COVID Information Packet