Form DB-271S 2025

Show details

4.3 out of 5

156 votes

The document outlines the rights and procedures for New York State disability benefits for employees unable to work due to non-occupational illnesses or injuries. It details the employer's legal obligation to provide benefits, the process for filing claims, eligibility criteria, and the duration of benefits. It emphasizes the importance of timely claim submission and provides information on medical treatment options and protections against discrimination.

Here's how it works

01. Edit your db 271s online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send db271s via email, link, or fax. You can also download it, export it or print it out.

How to edit Form DB-271S in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our feature-rich and intuitive PDF editor is easy. Make the steps below to complete Form DB-271S online easily and quickly:

Sign in to your account. Sign up with your credentials or create a free account to try the product before upgrading the subscription.
Import a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Form DB-271S. Effortlessly add and underline text, insert pictures, checkmarks, and icons, drop new fillable areas, and rearrange or remove pages from your paperwork.
Get the Form DB-271S completed. Download your updated document, export it to the cloud, print it from the editor, or share it with other participants through a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to promptly manage your documentation online!

See more form DB-271S versions

We've got more versions of the form DB-271S form. Select the right form DB-271S version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (173 Votes)
2019	4.3 Satisfied (156 Votes)
2017	4.4 Satisfied (68 Votes)
2016	4.4 Satisfied (504 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What conditions are classified as a disability?

What Is the Most Approved Disability? Arthritis and other musculoskeletal system disabilities make up the most commonly approved conditions for social security disability benefits. This is because arthritis is so common. In the United States, over 58 million people suffer from arthritis.

How much does NYS disability pay per week?

Disability benefits are temporary cash benefits paid to an eligible employee, when they are disabled by an off-the-job injury or illness. Disability benefits are equal to 50 percent of the employees average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL 204).

What automatically qualifies for disability?

Disability Evaluation Under Social Security Listing of Impairments - Adult Listings (Part A) 1.00. Musculoskeletal Disorders. 2.00. Special Senses and Speech. 3.00. Respiratory Disorders. 4.00. Cardiovascular System. 5.00. Digestive Disorders. 6.00. Genitourinary Disorders. 7.00. 8.00. Skin Disorders.

What are the most approved disabilities?

You cannot do work you did previously or adjust to other work because of your medical condition. Your condition has lasted or is expected to last for at least 1 year (12 consecutive months) or to result in death.

What paperwork is needed for NYS disability?

The New York State Disability Benefits application consists of the DB-450 form. This is the only form that is required as part of your application for New York State Disability Benefits. The two mandatory sections of this form are PART A CLAIMANTS STATEMENT and PART B HEALTH CARE PROVIDERS STATEMENT.

What qualifies as a disability in NY?

You cannot do work at the substantial gainful activity (SGA) level because of your medical condition. You cannot do work you did previously or adjust to other work because of your medical condition. Your condition has lasted or is expected to last for at least 1 year (12 consecutive months) or to result in death.

Can you collect NYS disability and workers comp at the same time?

If you have received a written rejection of your Workers Compensation claim (contested or controverted), and you have been disabled from working for more than five days, you may apply for New York State Disability Benefits and you may continue to pursue your Workers Compensation claim at the same time.

Form DB-271S 2025

Here's how it works