New York Workers' Compensation Safety Group Applications

Safety Group Applications

Complete the following applications for the appropriate New York Workers' Compensation Safety Group

Retail Group of New York, Inc. Safety Group #544

Forms for Retail Group of New York:

United Restaurants of New York, Inc. Safety Group #556

Forms for United Restaurants of New York:

Wholesale Group of New York, Inc. Safety Group #551

Forms for Wholesale Group of New York:

Hotel & Motel Group of New York Safety Group #578

Forms for Hotels & Motels of New York:

Oil & Gas Dealers Group of New York Safety Group #582

Forms for Oil & Gas Dealers of New York:

Social & Health Services Group of New York Safety Group #585

Forms for Social & Health Services Group of New York:

Residential Care Facilities Group of New York Safety Group #586

Forms for Residential Care Facilities Group of New York:

Financial Services Group of New York Safety Group #558

Forms for Financial Services Group of New York:

Building Material Dealers Group of New York Safety Group #540

Forms for Building Material Dealers of New York:

Transportation Industry Group of New York Safety Group #510

Forms for Transportation Industry of New York:

Certificates

You may use the link below to log in to the website of The New York State Insurance Fund, 199 Church Street, New York, NY 10007, to obtain a Certificate of Insurance (COI).

NYSIF CERTIFICATE

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