This version of the form is not currently in use and is provided for reference only. Download this version of Form DB-800 for the current year.
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.
Q: What is the DB-800 Form?
A: The DB-800 Form is the Application for Approval of Plan of Employer Providing Disability and/or Paid Family Leave Benefits in New York.
Q: Who needs to complete the DB-800 Form?
A: Employers in New York who provide disability and/or paid family leave benefits need to complete the DB-800 Form.
Q: What does the DB-800 Form do?
A: The DB-800 Form is used to apply for approval from the New York State Workers' Compensation Board to provide disability and/or paid family leave benefits to employees.
Q: Are there any fees associated with the DB-800 Form?
A: No, there are no fees associated with submitting the DB-800 Form.
Q: Are there any specific requirements for the DB-800 Form?
A: Yes, employers need to meet certain eligibility criteria and provide information about their disability and/or paid family leave benefits program.
Q: Is the DB-800 Form for both disability and paid family leave benefits?
A: Yes, the DB-800 Form is used to apply for approval for both disability and paid family leave benefits.
Form Details:
Download a fillable version of Form DB-800 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.