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Only two types of entities may apply for a certificate to show they are exempt from the requirement to provide workers' compensation and/or disability and Paid Family Leave benefits coverage when obtaining a license, permit or contact with a government agency: New York entities with no employees
- Access Web-Based Exemption Application
We would like to show you a description here but the site...
- Ce-200
The Certificate of Attestation of Exemption (CE-200) is...
- Forms
Centralized mailing address for all workers’ compensation...
- Employers Workers' Compensation Forms
Forms are in PDF format. The Board recommends using the...
- Access Web-Based Exemption Application
A Request for Attestation of Exemption can be completed on-line by applicants who are not required to carry NYS workers' compensation and/or disability and paid family leave benefits insurance coverage.
New York State Workers' Compensation Board Application for Certificate of Attestation of Exemption from New York State Workers’ Compensation and/or Disability Benefits Insurance Coverage. For NYS workers’ compensation exemption, this application may only be completed by entities with no employees or
liability in accordance with the Workers' Compensation Law and all other New York State laws. Form CE-200 reflects a totally new process for granting exemptions from workers' compensation and disability benefits insurance coverage requirements..
30 Μαρ 2023 · This is a complete listing of all Division of Workers' Compensation Forms. The forms are also available in individual listings. Electronic filing: Forms available for electronic filing are indicated by . See Electronic filing - online forms for more information about filing your PDF form online.
Forms are in PDF format. The Board recommends using the latest version of Adobe Reader which is available as a free download from Adobe's website. After the form opens, you may complete the form by typing information on the form before you print it.
Independent Contractor Waiver of Workers’ Compensation Coverage. I . am an independent contractor, with no (Name of Contractor) employees, no casual laborers, and no sub-contractors performing work for . (Name of Employer) I am not the employee of. for workers’ (Name of Employer)