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Health Insurance and Worker's Comp Forms
Workers' Compensation Informational Bulletins/ApplicationsIndependent Contractors
Name, Ownership, or Business Structure Changes
Housing Remuneration
Corporation - Executive Officer Exclusion
Executive Officer Coverage Election/Exclusion Confirmation
Form U619 (C-105.51)
Sole Proprietors, Partnerships, and Limited Liability Corporations
Form U627 (C-105.32)
Broker Program Information & Forms
Agri-Services Safety Group (ASSG)
Workers’ Compensation Contact Guide
ASSG Quote Process
Workers’ Compensation Application
Payment Option Form
Custom Farming Supplemental Application
Dairy Farm Supplemental Application
Feed Manufacturing-Dealers Supplemental Application
Horse Boarding Supplemental Application
Implement Dealer Supplemental Application
Landscaping Supplemental Application
Livestock Farm Supplemental Application
Milk Hauling Supplemental Application
Nursery Supplemental Application
Orchard Supplemental Application
Vegetable Supplemental Application
Veterinary Supplemental Application
Dairylea Safety Group #583
DSG Workers’ Compensation Program Brochure
DSG NYSIF Workers’ Compensation Application
Dairylea Membership Application
DSG NYSIF Authorization Form
DSG Fee Disclosure Form
DSG Proxy Form
