Application For Approval Plan Of Association - Disability Family Leave Benefits {DB-801} | Pdf Fpdf Docx | New York

 New York   Workers Compensation 
Application For Approval Plan Of Association - Disability Family Leave Benefits {DB-801} | Pdf Fpdf Docx | New York

Last updated: 5/16/2024

Application For Approval Plan Of Association - Disability Family Leave Benefits {DB-801}

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Description

DB-801 - APPLICATION FOR APPROVAL OF PLAN OF AN ASSOCIATION OF EMPLOYERS OR EMPLOYEES, UNION OR TRUSTEES PROVIDING DISABILITY AND/OR PAID FAMILY LEAVE BENEFITS. This form is used in the State of New York Workers' Compensation Board by associations, unions, or trustees to apply for approval of a plan providing disability and/or paid family leave benefits for employees. The form requires details about the plan, including its coverage, duration, employee contributions, and other relevant information. It must be signed by an authorized official of the association, union, or trustees, affirming the accuracy of the information provided. www.FormsWorkflow.com

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