Get Db 155

The Db 155 form is essential for demonstrating compliance with disability benefits law in New York State. This guide provides clear, step-by-step instructions for filling out the form online, ensuring you complete it accurately and efficiently.

Follow the steps to fill out the Db 155 form online.

1. Click the ‘Get Form’ button to access the Db 155 document and open it in your preferred online editing tool.
2. Review the form's introductory sections to understand its purpose and ensure you have all necessary information on hand.
3. Fill in the certificate holder's details, which typically include the name and address of the business that will be self-insured under the law.
4. Provide information on any additional insureds if applicable, ensuring all entities covered under the disability benefits law are listed.
5. Affirm the acceptable proof of self-insurance by including any required documentation that verifies your business's coverage for disability benefits.
6. Review all the information carefully to ensure accuracy before finalizing the form.
7. Save your changes and download a copy for your records. You may also print or share the form as needed.

Complete the Db 155 form online to ensure compliance with disability benefits law.