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File. Call: 866-396-8314. Submit a paper C-3 form.
The Certificate of Attestation of Exemption (CE-200) is completed by entities with no employees and/or out-of-state entities obtaining a contract or license in which all the work is being performed outside of New York State. Using this online application, you can search for the CE-200.
How to apply for a workers compensation exemption A company description. Business type and structure. Proof of business ownership. Employee information. Up-to-date business licenses. Contact information. Current workers compensation insurance carrier. Application fee.
Here is a link to follow to fill out the application for the CE-200: Please follow this link and print the CE-200, sign it and submit it with your application.
Compensation Rates An injured employee is entitled to a compensation rate equal to two-thirds of the average weekly wage (AWW) in New York State for the 52-week period immediately prior to the date of accident. The rate is subject to prescribed maximums and degree of disability.
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CE-200 is good for one year, as are building permits. They can be renewed if permit needs to likewise be renewed. Cost of job should include materials AND labor. SIGN AND DATE CERTIFICATE AT BOTTOM OF PAGE.
You must submit Form CE-200 - Certificate of Attestation of Exemption. This form can be obtained in the following ways: (a) (Quick Option) - Access the online application at .wcb.ny.gov. Click the WC/DB Exemption button and then click Request for WC/DB Exemption (Form CE-200).

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