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Form PFL-820.1 Supplement to Certificate of Insurance - New York
What Is Form PFL-820.1?
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 Form PFL-820.1?
A: It is a Supplement to Certificate of Insurance in New York.
Q: Who needs to fill out Form PFL-820.1?
A: Employers in New York who provide paid family leave benefits to their employees.
Q: Why is Form PFL-820.1 required?
A: It provides additional information about an employer's paid family leave insurance policy.
Q: What information is required on Form PFL-820.1?
A: It requires details about the employer's policy, coverage, and premiums.
Q: When should Form PFL-820.1 be submitted?
A: It should be submitted to the employer's insurance carrier within 30 days of the start of a new policy or at the carrier's request.
Form Details:
- Released on March 1, 2018;
- 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 PFL-820.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form PFL-820.1 Supplement to Certificate of Insurance - New York
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