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Ny Workers Comp Exemption Ce 200 Form: What You Should Know

To be completed: You must indicate: A certification that: (1) you are an organization that is exempt from the Workers' Compensation Rules, Regulations and Standards; (2) as required under section 3-205 of the Workers' Compensation Code; (3) you meet certain other requirements as may be determined by  the Workers' Compensation Board. For example, the form of certification could be: Corporate Name Employer Identification Number, (EIN) Name; Legal Entity Company Name If the exemption is from a workplace accident or injury, the form may also identify the employer (a) who may file the certificate if he/she needs it to determine if an employee is disabled; or (b) who may file the application after the employer has determined that a disabled person is an employee and has provided information such as the employee's last known address and work location. For more information on the Worker's Compensation Certification Process, visit WCC Certification Form To request an Exemption, complete the Certificate of Exemption (CE-200) and return it to the Worker's Compensation Board (WCC) office. A WCC representative will verify your Certification. The certificate will only be accepted if your employer has been approved as being in compliance with the Federal “Protections for Workers” and “Workers' Compensation Act” and/or if you are a “Covered Employer” as defined within the Worker's Compensation laws and regulations. A “Covered Employer” is an eligible entity in the private sector, who can apply, as defined by the Workers' Compensation Board, for the Certificate of Attestation of Exemption (CE-200). To be  Covered Employer (CE-200), you must have at least 300 or more employees. Please Note: You must complete the Certificate of Exemption (CE-200) form even if you already  have a Workers' Compensation Board Certificate of Exemption (CE-200) for your establishment.  No changes to your application will be made except to remove the CE-200 document (if there is one). If your Exemption is from a workplace accident or injury, it will not be acceptable without the CE-200 certification.

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