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- Click ‘Get Form’ to open it in the editor.
- Begin by reviewing the Workers’ Compensation Insurance Requirements section. Ensure you understand that if you have employees in New York State, obtaining coverage is mandatory.
- Next, navigate to the Disability Benefits Insurance Requirements. Note that this coverage is separate from workers' compensation and is required if you have employees for 30 days in a calendar year.
- Fill out the Purchasing Workers’ Compensation and Disability Benefits Insurance section. Indicate your chosen method of obtaining insurance, whether through private carriers or self-insurance.
- Review the specific coverage situations outlined for corporate officers, not-for-profits, and other entities. Make sure to check which categories apply to your business.
- Finally, ensure all necessary fields are completed accurately before submitting your form for processing.
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