Safety Group Applications

Complete the following applications for the appropriate New York Workers' Compensation Safety Group

United Restaurants of New York, Inc. Safety Group #556

There are six forms for United Restaurants of New York:

Retail Group of New York, Inc. Safety Group #544

There are six forms for Retail Group of New York:

Oil and Gas Dealers of New York Safety Group #582

There are seven forms for Fuel Oil Dealers of New York:

The Social and Health Services Group of New York Safety Group #585

There are six forms for Home Health Care Services of New York:

Wholesale Group of New York, Inc. Safety Group #551

There are six forms for Wholesale Group of New York:

Hotel and Motel Group of New York Safety Group #578

There are six forms for Hotels & Motels of New York:

The Residential Care Facilities of New York Safety Group #586

There are six forms for Residential Care Facilities of New York:

Certificates

You may use the link below to log in to the website of The New York State Insurance Fund, 199 Church Street, New York, NY 10007, to obtain a Certificate of Insurance.

NYSIF CERTIFICATE

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