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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 and Human Resources office 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!

DB-155 – Proof of Disability Coverage - Contact Human Resources

Call Amanda Kolb or Nicole Davis at 315-422-9091 or 

email humanresources@syrdio.org  to request the Disability documents for you.


SI-12 – Proof of Workers’ Compensation Coverage

Call Sue Wuerthner at 315-470-1495 

or email Sue at swuerthner@syrdio.org to request the Workers Compensation coverage documents for you.


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