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Workers' Compensation Board

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Proof of Coverage for Disability and Paid Family Leave Benefits - DB 820/829 Flat File Transmission

How to Register

To register to send Disability and Paid Family Leave Benefits Proof Of Coverage data through a secure file transfer process and receive electronic notification of accepted and rejected transactions from the Board, complete the Registration for DB 820/829 Flat File Transmission. adobe pdf

Please include your company name, FEIN number, Board assigned ‘B’ number, and information for a contact person within your company. A Board representative will contact the person identified on the registration form to discuss the details for submitting flat files.

Please fax the registration form to: (518) 402-6294  Attention: DB POC Support