Form CE-200, Application for Certificate of Attestation of Exemption , is used by the entities who want to be exempted from liability to carry their workers' compensation or disability benefits insurance.
To apply for an NYS workers' compensation exemption, a company should not have any employees at all or must be an out-of-state organization performing all works outside of NYS.
To apply for an NYS disability benefits exemption, a company has to be without any employees as well or can have the employees, working in NYS for less than thirty days in a calendar year.
This form was released by the New York State Workers' Compensation Board and the latest version was issued in February 2009 .
A fillable CE-200 Form PDF is available for download below .