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  • Db135 2003

Get Db135 2003-2025

EMPLOYER'S APPLICATION FOR VOLUNTARY COVERAGE FOR CLASS OF EMPLOYEES FOR WHOM DISABILITY BENEFITS ARE NOT REQUIRED BY LAW (Employee Contribution NOT Required) TO THE CHAIR, WORKERS' COMPENSATION BOARD: ...........................................................................................................................................(herein called the EMPLOYER) Name of Employer .

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New York's Short Term Disability Benefits Although employees are paid for disability leave, it is important to note that disability leave is not a protected leave under New York Law. Employees are only able to take protected leave if they qualify under the Family Medical Leave Act.

After a seven-calendar-day waiting period or the exhaustion of your sick leave accruals (whichever is greater), you receive 50 percent of your average salary for the eight weeks before disability, up to the maximum benefit established under the New York State Disability Benefits Law, currently $170 per week.

As long as you are covered at the time of your disability and you qualify for benefits, short term disability coverage will typically replace 60% to 80% of your income. This coverage can be an effective way to protect yourself from the financial impact of a temporary loss of income due to a disability.

New York State law requires that every covered employer provides insurance to cover short-term disability benefits for their employees. Under the Workers' Compensation Board, the New York State Insurance Fund (NYSIF) provides insurance to a vast majority of employers in New York State.

Disability benefits are temporary cash benefits paid to an eligible employee, when they are disabled by an off-the-job injury or illness. Disability benefits are equal to 50 percent of the employee's average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL §204).

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Keywords relevant to Db135

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  • disabilities
  • affirm
  • herein
  • employs
  • incurred
  • TEL
  • discontinue
  • provision
  • attachments
  • therein
  • Penalties
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  • ny
  • Proprietor
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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