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Historically the WC/DB-100 exemption forms had to be notarized and had to be stamped by the New York State Workers Compensation Board. Accordingly a WC/DB-100 will not be accepted after that date. Instead Form CE-200 which replaces Form WC/DB-100 must be used for applicants seeking exemptions starting on December 1 2008. This is reflected in New York State Racing and Wagering Board Rules 9 NYCRR 4006. 3 and 4101. 31. Form WC/DB-100 Will Be Retire...

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What is wc db 100 form?

The wc db 100 form is a document used to report work-related injuries and illnesses to the workers' compensation board.

Who is required to file wc db 100 form?

Employers or their representative, such as insurance carriers, are required to file the wc db 100 form.

How to fill out wc db 100 form?

The wc db 100 form needs to be completed with accurate information regarding the injured employee, details of the injury, employer information, and any witnesses.

What is the purpose of wc db 100 form?

The purpose of the wc db 100 form is to notify the workers' compensation board about work-related injuries or illnesses for proper record-keeping and potential benefits for the employee.

What information must be reported on wc db 100 form?

The wc db 100 form requires information such as the injured employee's personal details, the employer's details, injury description, medical treatment received, and any witnesses.

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