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Workers' Compensation Board

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Proof of Coverage for Disability and Paid Family Leave Benefits - DB 820/829 Web Submission


Overview/Features

Insurance carriers writing disability and paid family leave benefits policies for New York State employers must submit proof of such policies to the NYS Workers' Compensation Board using the form DB 820/829 format.

The Board's web-based DB 820/829 data entry application is a secure web-based process that allows insurance carriers to enter data on individual policies and submit this data electronically to the Board.

The Board will acknowledge accepted and rejected transactions by allowing carriers to review the status of their submissions via the web application. There is no cost to the insurance carrier for the use of this web-based process.

Register for DB 820/829 web submission