Submit an Application for NYSIF Workers' Compensation Insurance

Obtain a NYSIF workers' compensation insurance policy by first requesting a NYSIF workers’ comp quote using NYSIF eQuote. In most instances, a premium quote will be returned within three business days. A NYSIF underwriter may contact you following submission to obtain documents necessary to return an appropriate quote (e.g. loss runs, payroll verification, etc.).

When you receive your quote, you can complete, sign and submit an insurance application online. Employers applying for workers’ compensation coverage have the option to pay the deposit premium amount indicated on their NYSIF quote by electronic funds transfer or credit card. All applications must be fully completed and be accompanied by deposit premium payment to be reviewed.

If your application is approved, coverage becomes effective at 12:01 a.m., Eastern Time, the day following NYSIF's receipt of your electronically signed application and electronic premium deposit payment. For applications sent via U.S. mail, coverage, if issued, becomes effective the day after the postmark on the envelope containing your signed paper application and deposit payment, or any subsequent date requested. Written notification of your policy number and the effective date of coverage will be mailed to you when coverage is issued. Policy declaration and information pages will follow. 

If you are unable to use NYSIF eQuote, you can print the following NYSIF workers' compensation insurance application and supplemental questionnaires:

Workers' Compensation Insurance Application
Building Demolition
Roofing Contractors
Volunteer Firefighters Application
Volunteer Ambulance Workers Application

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