Get Ny Db-135 2019-2025

The NY DB-135 is an essential form for employers seeking voluntary coverage for disability and paid family leave benefits in New York. This guide provides step-by-step instructions on how to complete the form online efficiently, ensuring compliance with state laws.

Follow the steps to complete the NY DB-135 form online.

1. Press the ‘Get Form’ button to access the NY DB-135 form and launch it in your preferred online editor.
2. Enter the name of the employer in the designated field.
3. Fill in the name under which the business is conducted along with a contact telephone number.
4. Provide the complete address of the employer.
5. Input the Federal Employer's Identification Number or Social Security Number if no FEIN is available.
6. State the total number of employees in the specified field.
7. Indicate the number of employees in the class or classes for whom disability and paid family leave benefits are not required by law.
8. Complete Section A by selecting whether the employer is a covered employer within the definition in Section 202 of the New York State Disability and Paid Family Leave Benefits Law.
9. In Section B, provide specifics of the election to provide benefits: list the employees covered, specify the benefits to be provided, and indicate the method of providing these benefits.
10. Confirm in Section C that no contributions will be required from employees and provide additional necessary details related to the coverage.
11. Affirm the truthfulness of the application by signing and dating the form, then entering the name and title of the individual signing.
12. Once all fields have been completed, save your changes, download, print, or share the completed form as needed.

Complete your NY DB-135 form online today to ensure compliance and secure the necessary benefits.