
NY DB-850 2017-2025 free printable template
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STATE OF NEW YORK WORKERS\' COMPENSATION BOARD
Bureau of Compliance BOX 5200, Binghamton, NY 139025200APPLICATION FOR ACCEPTANCE OF INSURANCE FORM
Under Section 360.1(b)(1) NY CRR
To: Chair, Workers\'
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How to fill out NY DB-850
01
Begin by obtaining the NY DB-850 form from the New York State Department of Labor website or your local labor office.
02
Fill in the 'Employer Information' section with your business name, address, and contact details.
03
Provide the employee’s personal information in the 'Employee Information' section, including their name, social security number, and address.
04
Complete the 'Employment Information' section, detailing the employee's job title, start date, and hours worked.
05
If applicable, indicate any wages paid and deductions taken in the proper sections.
06
Review all entries for accuracy to ensure that the information is complete and correct.
07
Date and sign the form in the designated section.
08
Submit the form either electronically or by mail to the appropriate state department.
Who needs NY DB-850?
01
Employers in New York State who need to report wage information for their employees must fill out the NY DB-850 form.
02
Businesses that are required to comply with state labor laws regarding wage reporting or tax obligations must also use this form.
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What is NY DB-850?
NY DB-850 is a form used in New York State for reporting employee wage and tax information to the Department of Labor.
Who is required to file NY DB-850?
Employers who have employees working in New York State are required to file NY DB-850.
How to fill out NY DB-850?
To fill out NY DB-850, employers need to provide employee details, wage information, and tax withholdings as specified in the form's sections.
What is the purpose of NY DB-850?
The purpose of NY DB-850 is to collect data for unemployment insurance tax purposes and ensure compliance with state labor laws.
What information must be reported on NY DB-850?
The information that must be reported on NY DB-850 includes employee names, Social Security numbers, wages paid, and any taxes withheld.
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