Please note, in order to download these forms, you must have the Adobe Acrobat Reader. Click on the image to the right to download this program if you do not have it on your computer.
State of New York - Workers Comp STATE OF NEW YORK
WORKERS’ COMPENSATION BOARD
STATEMENT FOR A GOVERNMENT ENTITY THAT A BUSINESS DOES NOT REQUIRE
WORKERS’ COMPENSATION AND/OR DISABILITY BENEFITS COVERAGE
Application for Home Improvement License Submit a check for $100.00 made out to "Town of Shelter Island" and include Liability Certificate with Town of S.I. as Certificate holder and any other insurances if applicable. This license is good for 1 year.Please mail to Town of Shelter Island PO Box 970 Shelter Island, NY 11964