N.Y. Comp. Codes R. & Regs. tit. 17 § 508.7

Current through Register Vol. 46, No. 25, June 18, 2024

Section 508.7 - Self-insurance report

Carrier's Name

SELF-INSURANCE REPORT

(Due on dates set forth in order.)

A. Attach a bank statement giving the balance of the self-insurance fund as at the end of the prior calendar year.

B. Financial statements

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N.Y. Comp. Codes R. & Regs. Tit. 17 § 508.7