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

Help Guides For New York Business Express

If you need additional assistance, contact the New York Business Contact Center at (518)-485-5000.