NY DB-840 2000-2025 free printable template
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STATE OF NEW YORK WORKERS COMPENSATION BOARD Initial Designation of Authorized Representatives DISABILITY BENEFITS BUREAU 100 BROADWAY-MENANDS ALBANY, NY 12241-0005 Designation of Additional Authorized
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How to fill out NY DB-840
How to fill out NY DB-840
01
Obtain the NY DB-840 form from the New York State Department of Labor website or a local office.
02
Enter your business name, address, and employer identification number (EIN) at the top of the form.
03
Provide the contact person's name, phone number, and email address for the submission.
04
List all employees for whom you are claiming benefits, including their names, social security numbers, and dates of birth.
05
Indicate the reason for the claim in the corresponding section.
06
Attach any required documentation to support your claim, such as proof of unemployment insurance or other relevant information.
07
Review the forms for accuracy and completeness before submission.
08
Sign and date the form at the bottom before mailing it to the appropriate address.
Who needs NY DB-840?
01
Any employer in New York State who has employees and needs to report unemployment insurance claims or related information must fill out the NY DB-840 form.
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What is NY DB-840?
NY DB-840 is a form used to report wage and tax information for New York State employers. It is typically related to employer contributions to the New York State Disability Benefits Law.
Who is required to file NY DB-840?
Employers in New York State that offer disability benefits to their employees are required to file the NY DB-840 form.
How to fill out NY DB-840?
To fill out the NY DB-840, employers need to provide relevant information such as the employer's details, employee wage information, and total contributions for the period. Detailed instructions are provided with the form.
What is the purpose of NY DB-840?
The purpose of NY DB-840 is to ensure compliance with New York State laws regarding disability benefits and to report necessary wage and tax information to the state.
What information must be reported on NY DB-840?
The NY DB-840 must report information including employer identification details, wages paid to employees, tax withheld, and any contributions made under the disability benefits law.
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