Form DB-681 Self-insurer's Annual Report for Calendar Year - New York

Form DB-681 Self-insurer's Annual Report for Calendar Year - New York

What Is Form DB-681?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DB-681?
A: Form DB-681 is the Self-insurer's Annual Report for Calendar Year in New York.

Q: Who needs to file Form DB-681?
A: Self-insurers in New York need to file Form DB-681.

Q: What is the purpose of Form DB-681?
A: The purpose of Form DB-681 is to report self-insurance activities for the calendar year.

Q: When is Form DB-681 due?
A: Form DB-681 is due by March 1st of the following year.

Q: What information do I need to complete Form DB-681?
A: You will need to provide information about your self-insurance program, including the number of employees covered, claims information, and financial data.

Q: Are there any penalties for not filing Form DB-681?
A: Yes, failure to file Form DB-681 may result in penalties or other legal consequences.

Q: Is there a fee to file Form DB-681?
A: No, there is no fee to file Form DB-681.

Q: Can I request an extension to file Form DB-681?
A: Yes, you can request an extension to file Form DB-681, but it must be done before the original due date of March 1st.

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Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form DB-681 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form DB-681 Self-insurer's Annual Report for Calendar Year - New York

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