
NY DB-820.1 2008 free printable template
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STATE OF NEW YORK WORKERS ' COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES PEOPLE WITH DISABILITIES WITHOUT DISCRIMINATION. DISABILITY BENEFITS LAW SUPPLEMENT TO CERTIFICATE OF INSURANCE This supplement
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How to fill out NY DB-8201

How to fill out NY DB-820.1
01
Download the NY DB-820.1 form from the New York State Department of Labor website.
02
Read the instructions carefully before filling out the form.
03
Enter the employer's name, address, and contact information in the designated fields.
04
Provide the employee's name, Social Security number, and employment details.
05
Fill in the dates of employment and the reason for filing the claim.
06
Complete any additional required sections based on your specific situation.
07
Review the form for accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the form to the appropriate New York State agency as instructed.
Who needs NY DB-820.1?
01
Employers in New York State who are filing a claim related to an employee's wage.
02
Employees who have experienced issues regarding their wages or need to report a claim.
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What is NY DB-820.1?
NY DB-820.1 is a form used in New York for reporting information regarding the payment of wages and compensation to employees, specifically for the purpose of unemployment insurance.
Who is required to file NY DB-820.1?
Employers who are subject to New York state unemployment insurance laws and have paid wages to employees are required to file NY DB-820.1.
How to fill out NY DB-820.1?
To fill out NY DB-820.1, employers must provide information about their business, the total wages paid, and specific details about employees, including their names, Social Security numbers, and the amounts paid to them.
What is the purpose of NY DB-820.1?
The purpose of NY DB-820.1 is to collect data that helps the state assess unemployment insurance taxes, ensure compliance with labor laws, and track the employment status of workers.
What information must be reported on NY DB-820.1?
The information that must be reported includes the employer's identification details, employee names, Social Security numbers, wage amounts, and periods of employment.
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