Get Ny Form Dp2002 1993-2025

This guide provides a comprehensive overview of how to successfully complete the NY Form DP2002 online. By following the outlined steps, users will gain a clear understanding of each section and field of the form, ensuring accurate submission.

Follow the steps to complete the NY Form DP2002 online.

1. Click 'Get Form' button to access the form and open it in the editor.
2. Begin filling out the form by entering the full name of the injured employee in the designated field.
3. Next, specify the name of the City department or agency where the injured employee is employed.
4. Choose one of the options provided for the election of benefits. Carefully review the conditions attached to each option before making a selection.
5. If selecting Option 1, ensure you understand the conditions: note the pro-rated charges against leave balances, the adequacy of accrued leave, and the requirement to undergo medical examinations.
6. Should you be authorizing someone to act on behalf of the injured employee, complete the shaded section by providing the authorized designee's name, relationship to the employee, and their address.
7. Complete the witness section by providing the witness' name, address, and signature, if applicable.
8. After all fields are completed accurately, you can save changes, download, print, or share the form as needed.

Start completing your documents online efficiently and accurately today.