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Workers’ Compensation Board

Application for Membership in the
Livery Drivers Benefit Fund

The application and affirmation must be completed and submitted to Hereford Insurance Company, the insurance company for the ILDBF, along with payment of premium based on the number of affiliated vehicles. If you have not received an invoice for the premium, contact Hereford Insurance at:

Hereford Insurance Company
36-01 43rd Avenue, 2nd Fl.
Long Island City, NY 11101
Tel: 718-361-9191