Insurance Requirements

OBTAINING THE PROPER PERMITS AND REQUIRED DOCUMENTS

Do you need to provide your local county office proof of coverage for New York State Workers’ Compensation and Disability to file your permits? 

Contact the Risk Management and Human Resources office to request the forms. 

The Workers' Compensation forms are requested from the New York State Office of Compliance.

The Disability forms are requested from our Disability Insurance Carrier, 
Sun Life Financial.  

These forms can take up to 2 weeks to come in from the State.  

PLEASE PLAN AHEAD!

DB-155 – Proof of Disability Coverage - Contact Human Resources

SI-12 – Proof of Workers’ Compensation Coverage

Call Sue Wuerthner at 315-470-1495 or email at [email protected] to request the Workers' Compensation coverage documents for you.