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NEW YORK MOTOR VEHICLE NO-FAULT INSURANCE LAW APPLICATION FOR MOTOR VEHICLE NO-FAULT BENEFITS * Motor Vehicle Accident Indemnification Corporation 110 WILLIAM STREET NEW YORK, N.Y. 10038 * DATE POLICY
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Who needs the NYS FORM NF-2?

Under the New York No-Fault Law, victims of motor vehicle accidents are entitled to benefits or reimbursement of their basic economic loss. The NYS FORM NF-2 is an application for motor vehicle no-fault benefits.

 

What is the purpose of the NYS FORM NF-2?

The purpose of this form is to apply for benefits. Based on the NYS FORM NF-2, the Motor Vehicle Accident Indemnification Corporation determines whether the applicant is entitled to benefits.

 

When is the NYS FORM NF-2 due?

The applicant should complete and return the form as soon as possible.

 

What information should be provided?

The applicant should provide the following information:

  • (a) personal information: name, phone numbers, address, date of birth, social security number;
  • (b) information about the accident: date and time, place of the accident, brief description of the accident;
  • (c) information about injury;
  • (d) information about the vehicle at the time of accident: owner’s name, make, year, type of vehicle (truck, motorcycle, bus or school bus, automobile).

The applicant has to indicate whether he was the driver of the vehicle, a passenger in the motor vehicle, a pedestrian, a member of policyholder’s household, and whether he or the relative with whom he resides owns a motor vehicle.

The applicant must provide the name and address of the doctors or persons who furnished him health services.

If the applicant was treated at a hospital he should indicate the hospital’s name and address and the date of admission.

Furthermore, the applicant specifies the amount of health bills and answers whether:

  • he would have more health treatments.
  • he was at the time of accident in the course of his employment.
  • he lost time from work, specifying the date absence from work began.
  • he has returned to work, specifying the date when he returned to work and amount of time lost from work.

The following information should also be provided:

  • average weekly earnings;
  • number of working days per week;
  • number of working hours per day;
  • names and addresses of the current employer and other employers for one year preceding the accident, and dates of employment;
  • other expenses resulting from his injury;

Finally, the applicant should indicate whether his injury resulted in any other expenses, and if yes, he should attach explanation and amounts of such expenses.

  • If the applicant has received or is eligible for payment under New York State Disability or workers’ compensation, he should indicate this

Where do I send the NYS FORM NF-2?

The applicant must send the form as soon as possible to the Motor Vehicle Accident Indemnification Corporation with its address at 110 William Street, New York, N.Y. 10038.

 
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COULD DERAIL THE LONG-RUNNING RALLY NO-FAULT AUTO INSURANCE WAS DESIGNED TO PAY PROMPTLY--REGARDLE SS OF WHO IS AT FAULT IN A CAR ACCIDENT BUT THE INSURANCE INDUSTRY CLAIMS SOME PEOPLE ARE TAKING ADVANTAGE OF A GOOD THING--AND IT'S COSTING NEW YORKERS HUNDREDS OF MILLIONS OF DOLLARS EVERY YEAR NEWS 4'S LUKE MORETTI TAKES A CLOSER LOOK AT NO FAULT FRAUD IN TONIGHT'S SPECIAL REPORT NO-FAULT AUTO INSURANCE FRAUD IS BIG BUSINESS ELLEN MELCHIONNI IT'S IN ALL THE THE UPSTATE CITIES INCLUDING BUFFALO BOGUS CLAIMS COSTING HONEST NEW YORKERS CHRIS JACOBS THE NO-FAULT SYSTEM I THINK IS BROKEN NO-FAULT ROLLED OUT IN THE 1970'S WITH GOOD INTENTIONS -- BUT FRAUDSTERS HAVE FOUND A WAY TO CASH IN JIM QUIGGLE FRAUD IS A CLEAR CONTRIBUTOR TO HIGHER PREMIUMS INSURERS GET HIT WITH PHONY CLAIMS --- SCAM ARTISTS COLLECT AND YOU THE HONEST PERSON PAY THE PRICE ELLEN MELCHIONNI FRAUD IS THE CRIME THAT YOU AND I PAY FOR IN NEW YORK ELLEN MELCHIONNI IS THE PRESIDENT OF THE NEW YORK INSURANCE ASSOCIATION SHE SAYS MANY OF THE SCAMS ARE VERY SOPHISTICATED INVOLVING MULTPLE PEOPLE ELLEN MELCHIONNI EVERYONE FROM THE HEALTHCARE PROFESSIONALS TO THE PROVIDERS TO THE STAGED ACCIDENT FOLKS TO THE RUNNERS ONE EXAMPLE INVOLVES A STAGED CRASH PEOPLE ARE RECRUITED OFF THE STREET PACKED INTO CARS AS FAKE PASSENGERS THEY'LL CONDUCT A LOW-SPEED CRASH WITH THEIR OWN VEHICLES PRETEND THEY WERE INJURED RECEIVE FAKE TREATMENT --AND OVERBILL INSURANCE COMPANIES JIM QUIGGLE BUFFALO DOES HAVE A PROBLEM WITH STAGED CRASH RINGS NO QUESTION ABOUT IT JIM QUIGGLE IS WITH THE COALITION AGAINST INSURNCE FRAUD BASED IN WASHINGTON DC JIM QUIGGLE TENS OF THOUSANDS OF DOLLARS MILLONS OF DOLLARS ARE POURING IN TO THESE RINGS IT ADDS UP TO HUNDREDS OF MILLIONS OF DOLLARS IN FAKE CLAIMS A YEAR IN NEW YORK INDUSTRY OFFICIALS SAY NEW YORK CITY IS THE EPICENTER OF THIS TYPE OF FRAUD BECAUSE OF ITS SHEER SIZE AND MASS OF PEOPLE THAT CAN BE RECRUITED KEVIN GALLAGHER IT DOES AFFECT ALL THE CONSUMERS WITHIN NEW YORK STATE KEVIN GALLAGHER IS WITH THE NATIONAL INSURANCE CRIME BUREAU'S NORTHEAST REGION HIS AGENCY INVESTIGATES SUSPICIOUS CLAIMS REFERRED BY INSURERS ACROSS THE STATE ACCORDING TO NICB DATA THE AGENCY RECEIVED AROUND 9-THOUSAND TOTAL QUESTIONABLE REFERRALS STATEWIDE LAST YEAR JUST OVER 2-THOUSAND WERE NO-FAULT REFERRALS KEVIN GALLAGHER A LOT OF PEOPLE HAVE THE MISCONCEPTION THAT THE INSURANCE COMPANIES HAVE DEEP POCKETS THEY'RE PAYING FOR THIS IT'S GETTING PASSED ON TO ALL OF US THROUGH THE HIGHER PREMIUMS ACCORDING TO THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS IN 2015 NEW YORK STATE HAD THE SECOND HIGHEST AVERAGE COST FOR AUTO INSURANCE IN THE ENTIRE COUNTRY AT 1234 AND CHANGE THAT'S COMPARED TO THE NATIONAL AVERAGE OF 889 JIM QUIGGLE YOUR HONEST DRIVERS WHO ESPECIALLY LIVE IN THESE AREAS WHERE FRAUD IS PREVALENT THEY PAY IN HGHER PREMIUMS NEW YORK IS AMONG 12 STATES WITH NO- FAULT IT'S DESIGNED TO GET PEOPLE MEDICAL AND LOST...