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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DB-130
for the current year.
Form DB-130 Employee's Statement of Exempt Status - New York
What Is Form DB-130?
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-130?
A: DB-130 is the Employee's Statement of Exempt Status.
Q: Who needs to complete DB-130?
A: Employees in New York need to complete DB-130 if they want to claim exempt status from state income tax withholding.
Q: What is the purpose of DB-130?
A: The purpose of DB-130 is to allow employees to declare that they meet the criteria for exemption from state income tax withholding.
Q: How do I complete DB-130?
A: To complete DB-130, you must provide your personal information and indicate why you believe you qualify for exemption from state income tax withholding.
Q: Do I need to submit DB-130 every year?
A: No, you only need to submit DB-130 if you want to claim exempt status from state income tax withholding. However, you may need to submit a new form if your circumstances change.
Form Details:
- Released on May 1, 2019;
- 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-130 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
