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NY Statutory Disability & Paid Family Leave Employee Wage Census×To be able to save this form after the fields are filled in, you will need to have Adobe Reader 9 or later. If you do not have version
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New York Statutory Disability Insurance (DBL) is a state-mandated disability benefits program that provides partial wage replacement to employees who are temporarily unable to work due to a non-work-related illness or injury.
Employers in New York State are required to provide DBL coverage for their employees.
Employers can fill out the necessary forms provided by their insurance carrier or third-party administrator to apply for DBL coverage.
The purpose of DBL is to provide employees with income replacement when they are unable to work due to a temporary disability.
Employers must report employee wages, hours worked, and other relevant information to determine eligibility for DBL benefits.
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