Form DB-118 Employer's Statement for the Purpose of Terminating Status as a Covered Employer - New York

Form DB-118 Employer's Statement for the Purpose of Terminating Status as a Covered Employer - New York

What Is Form DB-118?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DB-118?
A: DB-118 is the Employer's Statement for the Purpose of Terminating Status as a Covered Employer form.

Q: What is the purpose of the DB-118 form?
A: The DB-118 form is used by employers in New York to terminate their status as a covered employer.

Q: Who needs to fill out the DB-118 form?
A: Employers in New York who want to terminate their status as a covered employer need to fill out the DB-118 form.

Q: Are there any fees for submitting the DB-118 form?
A: No, there are no fees for submitting the DB-118 form.

Q: What information is required on the DB-118 form?
A: The DB-118 form requires information such as the employer's name, address, and employer identification number.

Q: What happens after submitting the DB-118 form?
A: After submitting the DB-118 form, the employer's status as a covered employer will be terminated.

Q: Is it mandatory to fill out the DB-118 form?
A: Yes, if you want to terminate your status as a covered employer in New York, you must fill out the DB-118 form.

Q: Can the DB-118 form be used for any other purpose?
A: No, the DB-118 form is specifically for the purpose of terminating status as a covered employer in New York.

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Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DB-118 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form DB-118 Employer's Statement for the Purpose of Terminating Status as a Covered Employer - New York

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