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  • Ny Db-112 2017

Get Ny Db-112 2017-2025

EMPLOYER 'S STATEMENT FOR THE PURPOSE OF TERMINATING STATUS AS A COVERED EMPLOYER DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW1. EMPLOYER 'S NAME2. EMPLOYER 'S FEINEMPLOYER 'S ADDRESS CITY, STATE.

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How to fill out the NY DB-112 online

The NY DB-112 is an essential document for employers looking to terminate their status as a covered employer under the Disability and Paid Family Leave Benefits Law. This guide provides step-by-step instructions to assist you in completing the form accurately.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to access the form online.
  2. Enter the employer's name in the designated field at the top of the form. Ensure that the name matches the official business records to avoid discrepancies.
  3. Fill in the employer's Federal Employer Identification Number (FEIN) in the next field. This unique identifier is crucial for the filing process.
  4. Complete the employer's address section, including the city, state, and ZIP code. This information is vital for communication purposes.
  5. If different from the previously provided name, indicate the business or trade name in the next field.
  6. Provide the responses to the statements regarding employment status over the past calendar year. Answer each statement accurately based on your employment records.
  7. If applicable, indicate whether employees were required to contribute toward disability and paid family leave benefits. This is done by checking 'Yes' or 'No' accordingly.
  8. Report any excess employee contributions in the designated field. If there are none, simply enter 'None'.
  9. Sign and date the form, ensuring the signature is from the owner, partner, or an authorized officer of the corporation.
  10. Include a valid telephone number and title in the corresponding fields for further reference.
  11. Review the completed form thoroughly for accuracy. Once satisfied, you can save changes, download a copy, print it, or share it as needed.

Complete your documents online to ensure a smooth and efficient process.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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