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Workers\' Compensation IBoardCERTIFICATE OF NYS WORKERS\' COMPENSATION INSURANCE COVERAGEla. Legal Name and address of Insured (Use street address only)lb. Business Telephone Number of Insured(716)
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A workers compensation certificate is a document that proves a business has workers' compensation insurance, which provides coverage for employees who may suffer work-related injuries or illnesses.
Employers who have workers' compensation insurance are required to file a workers compensation certificate to demonstrate their compliance with state laws regarding employee coverage.
To fill out a workers compensation certificate, provide the necessary business information including the name, address, insurance carrier details, policy number, and coverage dates. Follow the specific format required by the issuing authority or state.
The purpose of a workers compensation certificate is to provide proof to clients or regulatory authorities that an employer has valid workers' compensation insurance, thereby ensuring employees are protected against job-related injuries or illnesses.
The information that must be reported on a workers compensation certificate includes the employer’s name and address, insurance policy number, insurance carrier's name and contact information, effective dates of coverage, and any applicable endorsement or additional insured details.
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