On August 31, 2023 a
Party Statement
was filed
involving a dispute between
Workers' Compensation Board Of The State Of New York,
and
Rizzo Transport Llc,
for Other Matters - Workers Comp App for Judgment
in the District Court of Chautauqua County.
Preview
FILED: CHAUTAUQUA COUNTY CLERK 08/31/2023 10:50 AM INDEX NO. EK12023001106
(40)16147330-1
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 08/31/2023
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF CHAUTAUQUA
X
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,:
Plaintiff, :
-against- :
:
RIZZO TRANSPORT LLC :
AFFIRMATION
Defendant(s) :
OF
REGULARITY
:
Workers'
The undersigned, an attorney in the office of the Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief:
Workers'
This affirmation is based upon a review of the file which is maintained by the Compensation
Board in its regular course of business. .
Workers'
The Compensation Board of the State of New York, in accordance with the provisions of the
Workers'
Compensation Law, has made an assessment/award in the sum of $21,000.00, against the
defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and
Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's
order imposing, and the demand for payment of, assessments imposed by the chair pursuant to
Workers'
subdivision five of section fifty-two and/or one hundred thirty one of the Compensation Law, as
Workers'
required for filing of judgment per Compensation Law, Section 26 and/or 219. Appeals before
the Board have been exhausted. .
No payment of award has been made except $0.00, leaving $21,000.00 due and payable.
WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: day of ,
AUG 1 8 2023
Yvonne M. Ward, Esq.
C-45.1 4/2007
(40)16147330-1
1 of 1
Document Filed Date
August 31, 2023
Case Filing Date
August 31, 2023
Category
Other Matters - Workers Comp App for Judgment
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FILED: CHAUTAUQUA COUNTY CLERK 08/31/2023 10:50 AM INDEX NO. EK12023001106 (40)16147330-1 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 08/31/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF CHAUTAUQUA X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK,: Plaintiff, : -against- : : RIZZO TRANSPORT LLC : AFFIRMATION Defendant(s) : OF REGULARITY : Workers' The undersigned, an attorney in the office of the Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief: Workers' This affirmation is based upon a review of the file which is maintained by the Compensation Board in its regular course of business. . Workers' The Compensation Board of the State of New York, in accordance with the provisions of the Workers' Compensation Law, has made an assessment/award in the sum of $21,000.00, against the defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and Award, and/or a certified copy of the demand for deposit of security, and/or a certified copy of the chair's order imposing, and the demand for payment of, assessments imposed by the chair pursuant to Workers' subdivision five of section fifty-two and/or one hundred thirty one of the Compensation Law, as Workers' required for filing of judgment per Compensation Law, Section 26 and/or 219. Appeals before the Board have been exhausted. . No payment of award has been made except $0.00, leaving $21,000.00 due and payable. WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: day of , AUG 1 8 2023 Yvonne M. Ward, Esq. C-45.1 4/2007 (40)16147330-1 1 of 1