Ce 200 exemption form
[DOCX File]NYS OFFICE OF GENERAL SERVICES
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IF NO, then a completed exemption form CE-200 is required** Disability Benefits: IF YES, Form DB-120.1 or DB-155 is required* IF NO, then a completed exemption form CE-200 is required** *IF YES, A business's insurance carrier will send the appropriate form to the government entity upon request.
[DOCX File]The - Department of Taxation and Finance
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Form CE-200 – Certificate of Attestation of Exemption from New York State Workers’ Compensation and/or Disability Benefits Coverage. Proof of Disability Benefits Coverage: Upon notification of award, the Successful Proposer will be requested to submit ONE of the following forms as Disability documentation:
Request Certificate of Attestation of Exemption (CE-200)
Only these two types of entities may apply for a Certificate of Attestation of Exemption (CE-200). This certificate can only be used to attest to a government entity that an applicant requesting a permit, license, or contract is not required to carry workers’ compensation and/or disability and Paid Family Leave benefits coverage.
[DOCX File]Village of Cohocton
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Instructions for Obtaining Form CE-200 – Certificate of Attestation of Exemption from NYS Workers’ Compensation and/or Disability Benefits Coverage. The CE-200 is now an on-line application. Please remember that applicants are submitting the CE-200 under penalty of perjury, a felony carrying a penalty of four years of jail time.
[DOCX File][TO BE COMPLETED ON OFFEROR’S LETTERHEAD]
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CE-200, Certificate of Attestation of Exemption from New York State Workers Compensation and/or Disability Benefits Coverage; OR C-105.2, Certificate of Workers’ Compensation Insurance. (The Contractor’s insurance carrier will send this form to ITS upon the Contractor’s request.)
[DOCX File]FORM NO - Catskill
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♦ are exempt (CE-200), under the mandatory coverage provisions of the WCL. Any residence that is not a 1, 2, 3 or 4 Family, Owner-occupied Residence . ... building permit was issued, then the homeowner may not file the “Affidavit of Exemption” form, BP-1(12/08), but shall.
[DOC File]Exhibit A: Charter School Planning and Implementation Grant
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WC/DB coverage OR exemption form CE-200. List of Known Subcontractors from FS-10 Budgets Assurances Page 8-16 Other Page(s) Budgets (FS-10’s) Appendix 1 Work Plan Instructions Appendix 2 Non-Regulatory Guidance Appendix 3 Cover Page. Name of Charter School: Grant Contact Person: Address: City: Zip Code:
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