New York State Forms and Publications
Labor Law Center offers a full collection of forms and publications for businesses in the state of New York. Our forms include both state and federal documents that pertain to New York employers, employees, volunteers, insurance carriers, and more.
This selection of New York forms and publications includes all of the mandatory forms you will need for your business such as Workers’ Compensation forms, unemployment insurance claims forms, publications, and more.
Many of our New York publications and forms come in both Spanish and English.
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Product
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Manufacturer
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SKU
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More Info
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| New York Affidavit for Death Benefits |
StateFP |
FFNY150 |
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| New York Affidavit for Death Benefits (Dependent Brothers/Sisters/Grandchildren), AFF-2 (2/04) |
StateFP |
FFNY205 |
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| New York Affidavit for Death Benefits (Dependent Parents/Grandparents), AFF-3 (2/04) |
StateFP |
FFNY210 |
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| New York Affidavit for Death Benefits (dependents) |
StateFP |
FFNY155 |
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| New York Affidavit For New York Entities With No Employees And Certain Out Of State Entities WC/DB-100 (9/07) |
StateFP |
FFNY035 |
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| New York Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance, BP-1 (9/07) |
StateFP |
FFNY215 |
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| New York Agricultural Employment IA 318.11 |
StateFP |
FFNY425 |
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| New York Alternative Dispute Resolution Program Final Disposition or Settlement of Claim ADR-2 (8/03) |
StateFP |
FFNY615 |
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| New York Alternative Dispute Resolution Program Report of Injury ADR-1 (11/06) |
StateFP |
FFNY605 |
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| New York Alternative Dispute Resolution Program: Modification of Previous Report ADR-1.1 (1/08) |
StateFP |
FFNY610 |
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| New York Amended Quarterly Return NYS-45X |
StateFP |
FFNY585 |
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| New York Annual Supplementary Contribution Report IA 7 |
StateFP |
FFNY565 |
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| New York Annual Supplementary Contribution Report IA 7 A |
StateFP |
FFNY570 |
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| New York Application for Acceptance of Insurance Form DB-850 (3/02) |
StateFP |
FFNY865 |
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| New York Application for Advance on Periodic Payments of Compensation C-21 (2/04) |
StateFP |
FFNY250 |
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| New York Application for Approval of Non-Schedule Adjustment C-22 (2/04) |
StateFP |
FFNY255 |
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| New York Application for Benefits, Shared Work Plan SW 330 |
StateFP |
FFNY140 |
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| New York Application for Reopening of Claim, More Than Seven Years After Accident C-25 (8/03) |
StateFP |
FFNY260 |
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| New York Attending Doctor's Report, C-4 (7/07) |
StateFP |
FFNY235 |
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| New York Attending Doctor's Request for Medical Authorization Determination MD-1 (7/07) |
StateFP |
FFNY360 |
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| New York Attending Opthamologist's Report, C-5 (7/07) |
StateFP |
FFNY245 |
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| New York Attending Psychologist's Report, PS-4 (7/07) |
StateFP |
FFNY400 |
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| New York Attorney/Representative's Application for Fee OC-400.1 (11/06) |
StateFP |
FFNY385 |
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| New York Authorization for claimants to allow access to records before the Board (Spanish) OC-110AS |
StateFP |
FFNY375 |
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| New York Benefit Reimbursement IA 318.13 |
StateFP |
FFNY435 |
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| New York Biannual Recertification to Entitlement to Benefits DD-2 (9/05) |
StateFP |
FFNY320 |
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| New York Carrier/Board-approved self-insured employer's Objection to Attending Doctor's Request MD-3 (12/03) |
StateFP |
FFNY830 |
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| New York Carrier's Designation of Authorized Representatives DB-840 (2/00) |
StateFP |
FFNY860 |
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| New York Carrier's Report on Rehabilitation, R (8/05) |
StateFP |
FFNY835 |
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| New York Carrier's Request for Benefit Increase Reimbursement Under Sec. 51 VFBL/VAWBL, VF/VAW-10 (10-06) |
StateFP |
FFNY845 |
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| New York Carrier's Request for Reimbursement of Compensation Payments Under Section 14(6) C-251.2 (11/01) |
StateFP |
FFNY770 |
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| New York Carrier's Request for Reimbursement of Compensation Payments Under Section 15-8 C-251 (11/01) |
StateFP |
FFNY760 |
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| New York Carrier's Request for Reimbursement of Medical Expenses Under Section 15-8 C-251.1 (11/01) |
StateFP |
FFNY765 |
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| New York Carrier's/Employer,s Request for Further Action, RFA-2 (3/08) |
StateFP |
FFNY840 |
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| New York Change of Business Information IA 15 |
StateFP |
FFNY525 |
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| New York Claim for Compensation and Notice of Commencement of Third Party Action C-121 (8/03) |
StateFP |
FFNY275 |
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| New York Claim for Compensation in Death Case C-62 (8/03) |
StateFP |
FFNY875 |
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| New York Claim for Volunteer Ambulance Workers' Benefits in a Death Case, VAW-62 (8/03) |
StateFP |
FFNY900 |
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| New York Claim for Volunteer Firefighter Benefits in a Death Case, VF-62 (8/03) |
StateFP |
FFNY920 |
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| New York Claimant's Authorization to Disclose Health Information (Pursuant to HIPAA) HIPAA-1 (12-03) |
StateFP |
FFNY330 |
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| New York Claimant's Authorization to Disclose Workers' Compensation Records (Section 110-a) OC-110A (8/07) |
StateFP |
FFNY370 |
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| New York Claimant's Guide to the Conciliation Process CB-11 (11/06) |
StateFP |
FFNY290 |
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| New York Claimant's Notice of Independent Medical Examination IME-5 (2/07) |
StateFP |
FFNY825 |
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| New York Claimant's Record of Medical and Travel Expenses C-257 (10/07) |
StateFP |
FFNY280 |
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| New York Claimant's Request for Further Action, RFA-1 (3/08) |
StateFP |
FFNY405 |
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| New York Continuation of Employment record SW 330.2 |
StateFP |
FFNY145 |
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| New York Continuation to Carrier/Employer Billing Portion, C-4.1 (6/04) |
StateFP |
FFNY240 |
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| New York Cover Sheet - Application for Board Review RB-89 (9/05) |
StateFP |
FFNY025 |
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| New York Cover Sheet - Rebuttal of Application for Board Review RB-89.1 (9/05) |
StateFP |
FFNY030 |
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| New York Determining Jurisdiction of Employment when services are performed in a number of states IA 116.3 |
StateFP |
FFNY420 |
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| New York Direct Deposit of Benefit Authorization Form DD-1 (2/06) |
StateFP |
FFNY315 |
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| New York Discharge or Discrimination Complaint DC-120 (11/06) |
StateFP |
FFNY310 |
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| New York Election of a Corporation Which is Required to Have Disability Benefits Coverage DB-212.3 (1/04) |
StateFP |
FFNY715 |
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| New York Employee's Claim for Compensation |
StateFP |
FFNY160 |
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| New York Employee's Claim for Compensation, C-3 (11/06) |
StateFP |
FFNY220 |
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| New York Employee's Statement of Exempt Status DB-130 (5/02) |
StateFP |
FFNY300 |
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| New York Employer Fraud Referral Form IG-2 (5-08) |
StateFP |
FFNY015 |
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| New York Employer Identification Card |
StateFP |
FFNY165 |
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| New York Employer Identification Card DB-125 (2/05) |
StateFP |
FFNY695 |
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| New York Employer Registration Form for Unemployment Insurance, Withholding and Wage Reporting NYS-100 |
StateFP |
FFNY535 |
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| New York Employer Registration Form for Unemployment Insurance, Withholding and Wage Reporting NYS-100A |
StateFP |
FFNY540 |
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| New York Employer Registration Form for Unemployment Insurance, Withholding and Wage Reporting NYS-100G |
StateFP |
FFNY545 |
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| New York Employer Registration Form for Unemployment Insurance, Withholding and Wage Reporting NYS-100IT |
StateFP |
FFNY550 |
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| New York Employer's Application for Voluntary Coverage for Class of Employees DB-135 (8/03) |
StateFP |
FFNY700 |
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| New York Employer's Application for Voluntary Coverage for Class of Employees DB-136 (8/03) |
StateFP |
FFNY705 |
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| New York Employer's Application to Have Association, Union or Trustee Plan DB-802 (4/04) |
StateFP |
FFNY725 |
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| New York Employer's Guide to Unemployment Insurance, Wage Reporting and Withholding Tax NYS-50 |
StateFP |
FFNY515 |
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| New York Employer's Report of Accident C-2 (11/06) |
StateFP |
FFNY620 |
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| New York Employer's Report of Injured Employee's Change in Status or Return to Work C-11 (8/03) |
StateFP |
FFNY625 |
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| New York Employer's Statement for the Purpose of Terminating Status as a Covered Employer DB-118 (10/07) |
StateFP |
FFNY690 |
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| New York Employer's Statement of Wage Earnings Preceding Date of Accident C-240 (8/03) |
StateFP |
FFNY680 |
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| New York Experience Rating IA 318.12 |
StateFP |
FFNY430 |
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| New York Fraud Complaint IG-1 (5-08) |
StateFP |
FFNY010 |
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| New York Guide To Claimants on the process of conciliation (Spanish) CB-11S (1/07) |
StateFP |
FFNY295 |
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| New York Health Insurer's Request for Reimbursement HIMP-1(10/04) |
StateFP |
FFNY815 |
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| New York Health Provider's Application for Authorization Under the Workers' Compensation Law MR/IME-1 (4/05) |
StateFP |
FFNY365 |
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| New York Health Provider's Request for Decision on Unpaid Medical Bill(s) HP-1 (4/05) |
StateFP |
FFNY335 |
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| New York Hearings Before Unemployment Insurance Administrative Law Judges, LO 424A |
StateFP |
FFNY075 |
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| New York Householder's Guide for Unemployment Insurance, IA 318.D |
StateFP |
FFNY060 |
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| New York Important Information about Unemployment Insurance IA 16 |
StateFP |
FFNY530 |
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| New York Important Information For Employers Operating in New York State OC 923 |
StateFP |
FFNY520 |
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| New York Important Information for Employers Operating in New York State OC-923 (3/08) |
StateFP |
FFNY020 |
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| New York Important Notice to Employers Regarding the Interest Assessment Surcharge IA 318.IS.1 |
StateFP |
FFNY505 |
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| New York Independent Contractors IA 318.14 |
StateFP |
FFNY440 |
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| New York Information for Employer Regarding Disability Benefits Law DB-102 (10/07) |
StateFP |
FFNY685 |
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| New York Instructions for Completing Affidavit for Death Benefits, AFF-1 (7/04) |
StateFP |
FFNY200 |
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| New York Insurance Sales Industry IA 318.18 |
StateFP |
FFNY460 |
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| New York List of Attorneys and Authorized Agents LO 424.4 |
StateFP |
FFNY070 |
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| New York List of Itemized Medical Bills for Temporary Payment by the World Trade Center, WTC-16 (7/07) |
StateFP |
FFNY850 |
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| New York Magazine Publishing Industry IA 318.23 |
StateFP |
FFNY490 |
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| New York Medical Proof of Change in Condition in Support of Application for Reopening C-27 (8/03) |
StateFP |
FFNY265 |
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| New York Messenger Courier Industry IA 318.24 |
StateFP |
FFNY495 |
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| New York Newspaper and Shopping Guide Publishing Industry IA 318.19 |
StateFP |
FFNY465 |
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| New York Notice and Proof of Claim for Disability Benefits |
StateFP |
FFNY170 |
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| New York Notice and Proof of Claim for Disability Benefits DB-450 (2/04) |
StateFP |
FFNY410 |
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| New York Notice of Claim for Reimbursement Out of Special Disability Fund Under Section 15-8 C-250 (3/07) |
StateFP |
FFNY755 |
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| New York Notice of Disability Benefits Payment DB-455 (3/99) |
StateFP |
FFNY800 |
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| New York Notice of Election of a Municipal Corporation or other Political Subdivision C-105.31 (1/04) |
StateFP |
FFNY645 |
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| New York Notice of Election of a Not-for-Profit Corporation or Unincorporated Association C-105.52 (1/04) |
StateFP |
FFNY660 |
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