New York Residents

  • Employer Posting Notice Request Form (log-in required to submit request)
  • NY Residents Confidentiality Protocol for Victims of Domestic Violence
  • NY Workers' Compensation Injured Workers Notice:  In accordance with Section 300.26 of Title 12 NY Compilation of the Rules and Regulations (NYCRR), beginning 7/1/2021, be advised you have the right to elect payment of your workers’ compensation benefits by direct deposit. If you do not make an election, any such payments will be made by a paper check. If you are currently entitled to benefit payments and wish to receive payments by direct deposit, please contact your claims representative at 855.533.3444 to discuss further. Sample election form.