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Er of Insured Vendor name and address 1c. NYS Unemployment Insurance Employer Registration Number of Insured 1d. Federal Employer Identification Number of Insured or Social Security Number 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder) 3a. Name of Insurance Carrier New York State Office of General Services Design and Construction Group Division of Contract Administration 35th Floor - Corning Tower, GNARESP Albany, NY 12242 3b.

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Penalty Process The penalties for noncompliance can be as high as $2,000 for every 10-day period without coverage. By the time an employer receives their first penalty notice, the penalty may be more than $12,000.

Certificate of NYS Workers' Compensation Insurance. Reporting Proof of Coverage for Disability and Paid Family Leave Benefits. Certificates of NYS Disability and Paid Family Leave Insurance.

Workers' Compensation coverage is not required if the business is a one or two person owned corporation, with those individuals owning all of the stock and holding all offices of the corporation (each individual must hold an office and own at least one share of stock).

The MG-2 NYS form is also known as the Attending Doctor's Request for Approval of Variance and Carrier's Response. This form is designed for and completed by the healthcare provider and allows a worker to request more that one test or treatment that is outside of or exceeds the Medical Treatment Guidelines.

Businesses in New York State must have workers' compensation coverage for all employees. The rule includes part-time employees and family members employed by the company. Employers must have a workers' compensation insurance policy.

Certificate of Insurance – Proof that you have a valid workers' compensation insurance policy. Claim – The notification to NYSIF and the New York State Workers' Compensation Board (WCB) that a work-related injury or illness has occurred and been reported.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232