Complete the following applications for the appropriate New York Workers' Compensation Safety Group
There are six forms for Retail Group of New York:
There are five forms for Fuel Oil Dealers of New York:
There are five forms for Home Health Care Services of New York:
There are six forms for Wholesale Group of New York:
There are four forms for Hotels & Motels of New York:
There are five forms for Residential Care Facilities of New York:
You may use the link below to log in to website of The New York State Insurance Fund, 199 Church Street, New York, NY 10007, to obtain a Certificate of Insurance.
Please fill out the form below and one of our representatives will get in touch with you shortly.