PLEASE COMPLETE AND SUBMIT THIS FORM TO OUR CLAIMS REPRESENTATIVE AS SOON AS POSSIBLE. PLEASE NOTE COMPLETED FORM MUST BE SUBMITTED TO INSURER NO LATER THAN 90 DAYS AFTER WORK LOSS WAS FIRST INCURRED Thank you for your cooperation. EMPLOYEE S OCCUPATION DATES OF EMPLOYMENT GROSS EARNINGS DURING 52 WEEK PERIOD PRIOR TO ACCIDENT WAGE OR SALARY AS OF DATE OF ACCIDENT FROM THROUGH HOURLY WEEKLY MONTHLY NUMBER OF HOURS NORMALLY WORKED PER DAY NUMBER OF DAYS NORMALLY WORKED PER WEEK DATES ABSENT...
nys form nf 6

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Who needs the NF-6 form?

The NF-6 form is the New York State form, the full name of which is the New York Motor Vehicle No-Fault Insurance Law Employer’s Wage Verification Report. The form should be filled out by the employer whose employee has filed an application for benefits as a result of injuries received in a motor vehicle accident according to the provisions of the New York Motor Vehicle Insurance Reparations Act (No-Fault Law).

What is the purpose of the NYS Form NF-6?

The information the form requests is important in order to help the insurer determine the claimant’s eligibility for the benefits due after the motor vehicle accident.

When is the NF-6 form due?

It is requested that the form should be returned to the insurer within 90 days after work loss was first incurred.

Is the NYS Form NF-6 accompanied by any other forms?

The Employer’s Wage Verification Report does not have to be accompanied by any other forms. However, if the situation requires attaching some additional documents, the employer will be notified about it.

How to fill out the NYS Form NF-6?

The New York Motor Vehicle No-Fault Insurance Law Employer’s Wage Verification Report must cover the following information on the insurer’s part:

  • Name and address;

  • Details about the insurer’s claim representative;

  • Date of filing;

  • Policyholder;

  • Policy number;

  • Date of accident;

  • Claim number;

  • Details about the employee who made a claim;

  • Employer’s name and address.

The employer is required to provide the following details about the employee:

  • Occupation;

  • Employment dates;

  • Gross earnings;

  • Dates of absence from work;

  • Eligibility for Workers’ Compensation Law or NYS Disability Benefits;

  • Any reimbursement the employee is entitled to, etc.

Where do I send the filled out NF-6?

The employer should return the completed NYS Employer’s Wage Verification Report to the insurer who requested the document.

Video instructions and help with filling out and completing nys form nf 6

Ok today we're going to take a look at dividing fractions in the past this has been one that I really didn't feel comfortable with but I tell you I really like modeling and dividing these fractions and figuring out looking at the problem and figuring out what to do both ways with the modeling and with the actual dividing with the algorithm so let's take a look we're going to look at two problems and we're going to look at them we're going to model and then we're also going to work it out with the division all right so let's take a look at the first one jason has five feet of rope if jason cuts the rope into 1/4 foot pieces how many pieces will he have well let's draw that out we're going to break this down so that jason has five feet of ribbon and you note or excuse me rope and you notice that I am drawing out my five I'm not making one long piece of five feet now he's going to break this down into 1/4 foot pieces so here we go this is pretty easy we know how to do this we're going to break each one down into force not one son to force that one that one there we go and they all right but let's think about this he has five feet of rope he's just cut the rope into 1/4 foot pieces how many pieces will he have so how do we solve this now yes all we have to do is count them one two three four five six seven eight nine ten 11 12 13 14 15 16 17 18 19 20 he now has 20 pieces of rope but let's see you don't want to always draw out the models and I know that our new standards common course is that you know we need to model it and understand it first but there is a way that you can work this out we see that he has five feet of rope and he's splitting it into 1/4 foot pieces so this is actually 5 divided by 1/4 I'm going to give you a little secret to dividing fractions because there's a trick to it you need to write when you see something with division of fractions K see f this means to keep your first number or fraction change your division to multiplication and flip that second fraction now when you flip that second fraction it's called the reciprocal but I don't believe you have to know that for the fifth grade that term anyway now we know how to multiply this we've already done that so what do we get 5 times 4 equals 20 and then you just keep your 1 but wait a minute what is 20 over 1 this means 20 divided by 1 and 20 divided by 1 is 20 look we got the same answer all right let's look at another problem this one is jason has half a gallon of lemonade he wants to split it between himself and his three friends how much of the gallon will each one of the 4 get now we're going to do this one a little differently we're going to draw out one whole gallon but how much did he have did he have a whole gallon no he didn't have a whole gallon he only had half a gallon so we got to split this so we're really splitting it into fourths but you would think that you would just split this half gallon but you don't you have to split the entire thing in order to see how...