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Click ‘Get Form’ to open the 135 form in the editor.
Begin by entering the name of the employer in the designated field. Ensure accuracy as this identifies your business.
Fill in the business name under which operations are conducted, followed by the complete address and telephone number.
Provide the Federal Employer's Identification Number or Social Security Number if you are a sole proprietor, along with your U.I. Employer Registration Number.
Indicate the total number of employees and specify how many belong to classes exempt from disability benefits.
In section A, confirm whether you are a covered employer under New York State Disability Benefits Law by checking the appropriate box.
Detail which employees will be covered under section B, selecting from options such as professional or teaching capacities.
Choose your method of providing benefits in section C, either through insurance or self-insurance, and ensure compliance with filing requirements.
Finally, affirm your role within the organization, sign and date the form before submitting it for processing.
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I declare under penalty of perjury under the laws of the state of Washington that the facts I have provided on this form (and any attachments) are true. □ IRead more
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