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What other documents must be submitted with the completed and signed application form?

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• For an Application For A Certificate Of Eligibility to Employ Child Performers; • A check or money order payable to the Commissioner of Labor for the appropriate fee; • Documents proving compliance with New York State Workers’ Compensation and Disability Insurance requirements; • If you currently have employees in New York, provide proof of coverage by attaching copies of Form C-105.2 and DB-120.1, available from your insurance carrier. • If you are currently exempt from this requirement, complete Form WC/DB-100 attesting that you are not required to obtain New York State Workers’ Compensation and Disability Insurance coverage. Information on and copies of this form are available from any district office of the Workers’ Compensation Board or from their website at www.wcb.state.ny.us under “Common Forms Online”. • If you use a Payroll Service, which provides the Workers’ Compensation and Disability Insurance coverage for your employees, you may provide proof of coverage for your New Y

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