PDF
Word
Form DB-26 Notice of Election of Political Subdivision for Self-insurance - New York
What Is Form DB-26?
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 DB-26?
A: Form DB-26 is a Notice of Election of Political Subdivision for Self-insurance in New York.
Q: What is the purpose of Form DB-26?
A: The purpose of Form DB-26 is to notify the relevant authorities that a political subdivision in New York is electing to self-insure.
Q: Who is required to file Form DB-26?
A: Political subdivisions in New York that wish to self-insure are required to file Form DB-26.
Q: What information is required on Form DB-26?
A: Form DB-26 requires information such as the name and address of the political subdivision, the effective date of self-insurance, and contact information for the responsible official.
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-26 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form DB-26 Notice of Election of Political Subdivision for Self-insurance - New York
1
2
