|Workers’ Compensation Rating
Fill out a Workers Compensation Rating application. The application can be obtained by visiting the Workers Compensation Board website at www.wcb.ny.gov or call the Society at 212-684-4670 x220. Submit with a package that includes:
- (Effective June 1, 2013) A check for $250.00 for members; $750.00 for nonmembers or resigned members payable to the New York County Medical Society, to process the application.
- Two photocopies of proof of Board Certification from the American Board of your Specialty, or
Two photocopies of your Certificate showing completion of three years of residency training or,
A letter from your Chairman/Program Director, stating the dates and specialty that you have completed your three years of residency training.
- Two photocopies of your Biennial Certificate of Registration, which reflects your principals office address. In order to get a change of address, you must call the New York State Education - Division of Professional Licensing at (518) 474 - 3817, or go to their website at www.nysed.gov. (Please read section # 4 of the application.)
- Two personal letters of recommendation addressed to:
New York County Medical Society
Steven D. Zaretsky, MD
Chairman, Committee on Workers’ Compensation
12 East 41 Street, 15th Floor
New York, NY 10017–9998
If you have any questions, please call Valerie Davis at (212) 684-4670, ext. 220.