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Workers' Compensation Board

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Request for WC/DB Exemption (Form CE-200)


The application for a Certificate of Attestation of Exemption, Form CE-200, from Workers' Compensation and/or Disability and Paid Family Leave Benefits coverage may only be completed by entities with no employees and/or out-of-state entities obtaining a contract or license in which all the work is being performed outside of New York State.

Upon selecting the web based application below, you will be routed to New York Business Express to complete your application.

Access/print this help guide to assist with the process or contact New York Business Contact Center at (518)-485-5000.