NY DB-850 2002 free printable template
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STATE OF NEW YORK WORKERS COMPENSATION BOARD DISABILITY BENEFITS BUREAU 100 BROADWAY-MENANDS ALBANY, NY 12241-0005 APPLICATION FOR ACCEPTANCE OF INSURANCE FORM Under Section 360.1(b)(1) NY CRR To:
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How to fill out NY DB-850
How to fill out NY DB-850
01
Obtain the NY DB-850 form from the New York Department of Labor website or your employer.
02
Fill out the employer's information, including the name, address, and contact details.
03
Provide the employee's information, including their name, social security number, and mailing address.
04
Indicate the specific reason for completing the NY DB-850 form.
05
Ensure all details are accurate and completed in full.
06
Review the form for any errors or missing information.
07
Sign and date the form at the bottom.
08
Submit the completed form to the appropriate authority as instructed.
Who needs NY DB-850?
01
Employers who need to report wage information about their employees.
02
Employees who are required to provide wage details for unemployment benefits.
03
Individuals claiming disability benefits who need to document their work history.
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What is NY DB-850?
NY DB-850 is a form used in New York for the reporting of certain business-related activities, specifically for businesses that are subject to New York State's disability benefits law.
Who is required to file NY DB-850?
Employers in New York who provide disability benefits to their employees are required to file NY DB-850.
How to fill out NY DB-850?
To fill out NY DB-850, employers must provide accurate information regarding their business, the type of disability benefits provided, and any relevant employee details as specified in the form.
What is the purpose of NY DB-850?
The purpose of NY DB-850 is to ensure compliance with New York State's disability benefits law and to collect necessary information for the administration of these benefits.
What information must be reported on NY DB-850?
Information that must be reported on NY DB-850 includes the employer's name and address, business type, employee details, and specific details about the disability benefits offered.
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