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 Building & Zoning Department - Worker's Compensation Forms

 



NYS Workers' Compensation/Disability Forms must be completed with all Building Applications. 

These forms are provided below:

             *The WC/DB-100 form is obsolete effective December 1, 2008 and   
             applicants must now use form CE-200. Effective December 1, 2008
             exemptions will no longer be valid for multiple permits, licenses or
             contracts for which the applicant has applied. Further, exemptions no longer
             have to be notarized; nor do they have to be stamped by the NYS Worker's
             Compensation Board. Only applicants eligible for exemptions must file a
             new CE-200 for each and every new or renewed permit, license or contract
             issued by a government agency. Each CE-200 will specifically list the
             issuing government agency and the specific type of permit, license or
             contract requested by the applicant. Applicants for building permits will also
             need to supply additional information including identifying the specific job
             location and the estimated cost of the project.
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