
NY DB-691 2016-2025 free printable template
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ANDREW M. CUOMO
GovernorKENNETH J. MANNERLY
Chair
IMPORTANT NOTICE
To Reinsurers Providing Benefits
Under the Disability Benefits Wall Reinsurers are required to report to the Chair specific information
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How to fill out NY DB-691

How to fill out NY DB-691
01
Obtain the NY DB-691 form from the New York State Department of Labor website or your local office.
02
Fill out the required personal information, including your name, address, and contact details.
03
Provide your Social Security number or Employer Identification Number (EIN) as required.
04
Indicate the type of claim you are filing, such as unemployment insurance or partial unemployment benefits.
05
Complete details about your employment history, including the names of employers, dates of employment, and reasons for separation.
06
Review all information carefully to ensure accuracy.
07
Sign and date the form to certify all provided information is correct.
08
Submit the completed form as indicated, either online or through mail, depending on the submission guidelines.
Who needs NY DB-691?
01
Individuals who are filing for unemployment insurance benefits in New York.
02
Workers seeking partial unemployment benefits due to reduced hours or layoffs.
03
Employees who are separated from their jobs and meet the eligibility criteria.
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What is NY DB-691?
NY DB-691 is a form used in New York State for reporting specific information regarding disability benefits and payroll deductions.
Who is required to file NY DB-691?
Employers who provide disability benefits to their employees under New York's disability laws are required to file NY DB-691.
How to fill out NY DB-691?
To fill out NY DB-691, provide accurate information related to employee disability benefits, including the names, addresses, and benefit amounts, following the instructions specific to the form.
What is the purpose of NY DB-691?
The purpose of NY DB-691 is to ensure compliance with state regulations regarding disability insurance and to track benefits provided to employees.
What information must be reported on NY DB-691?
The information that must be reported on NY DB-691 includes employee details, the duration of disability benefits, and the amount of benefits paid.
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