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Click ‘Get Form’ to open the db 135 form in the editor.
Begin by entering your business details, including the Name of Employer, Business Name, Telephone Number, and Address. Ensure accuracy for smooth processing.
Provide your Federal Employer's Identification Number or Social Security Number if applicable. Then, indicate the Total Number of Employees and specify how many employees fall under classes not requiring disability benefits.
In Section A, select whether you are a covered employer as defined by New York State law. This is crucial for compliance.
For Section B, detail the employees covered under your plan. Check all relevant categories such as professional or teaching capacities.
Specify the benefits to be provided in Section 2 and choose between insurance or self-insurance methods in Section 3.
Finally, review the agreement in Section C regarding employee contributions and termination notice requirements. Sign and date the form at the bottom before submitting.

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