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INSURANCE REQUIREMENTS






OBTAINING THE PROPER PERMITS AND REQUIRED DOCUMENTS


Do you need to provide your local county office proof of coverage for 

New York State Workers’ Compensation and Disability to file your permits? 

Contact the Risk Management to request the forms.  

The Workers' Compensation forms are requested from New York State Office of Compliance.

The Disability forms are requested from our Disability Insurance Carrier, Sun Life Financial.  

These forms can take up to 2 weeks to come in from the State.  

PLEASE PLAN AHEAD!

SI-12 – Proof of Workers’ Compensation Coverage and 

DB-120.1 – Proof of Disability Coverage 

Please email Sue Wuerthner at swuerthner@syrdio.org to request the forms of coverage documents for you, or call Sue at 315-470-1495.

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