
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.
- Click ‘Get Form’ button to access the form online.
- 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.
- Fill in the employer's Federal Employer Identification Number (FEIN) in the next field. This unique identifier is crucial for the filing process.
- Complete the employer's address section, including the city, state, and ZIP code. This information is vital for communication purposes.
- If different from the previously provided name, indicate the business or trade name in the next field.
- Provide the responses to the statements regarding employment status over the past calendar year. Answer each statement accurately based on your employment records.
- 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.
- Report any excess employee contributions in the designated field. If there are none, simply enter 'None'.
- Sign and date the form, ensuring the signature is from the owner, partner, or an authorized officer of the corporation.
- Include a valid telephone number and title in the corresponding fields for further reference.
- 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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