Completing Underwriting Payroll Reports (DP-517)

The New York Compensation Insurance Rating Board requires insurance carriers to audit the payroll records of employers for the purpose of determining earned premiums for workers’ compensation policies. In certain cases, a policyholder is permitted to complete an underwriting payroll report (DP-517) in lieu of an actual audit.

NYSIF insures thousands of businesses, large and small. Please follow the detailed instructions that are attached to your payroll report. If you need additional assistance, please refer to the section below that best describes the type of business while completing your payroll report. Each section contains useful information to guide you in properly completing your report.

Domestics

Sole Proprietors, Partnerships, Limited Liability Corporations (LLC), Limited Liability Partnerships (LLP), Professional Service Liability Company (PSLC), Registered Limited Liability Partnership (RLLP)

Corporations

Note: Failure to return payroll reports for one or more policy periods may result in an estimated earned premium billing at a higher premium cost.
 
Qualified policyholders can submit a payroll report online.