Quarterly Unified Employer Assessment Surcharge
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- How to submit using a Mac™
- How to submit using Google Chrome™
- How to submit using Firefox™
- How to submit using Microsoft Edge™
- GA-2 - Workers' Compensation Insurers Remittance Form Updated 9/19/2023
- GA-2 - Instructions Updated 9/19/2023
- GA-2 - Statistical Code Guide
- GA-2.1 - Workers' Compensation Insurers Remittance Form - Insurer Group Addendum Updated 3/21/2023
- GA-2.1 - Instructions Updated 3/21/2023
Confirmation of Submission to the Board
Please email a saved version of the form as an attachment to Assessments@wcb.ny.gov. Do not send a scanned version of the form. You will receive a no-reply email from the Board when your email is received.
Questions may be sent to: WCBFinanceOffice@wcb.ny.gov