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Update to Notice and Proof of Claim for Disability Benefits (Form DB-450)

The Notice and Proof of Claim for Disability Benefits(Form DB-450) has been updated to include a question on collection of other unemployment insurance benefits during the period for which disability benefits are being claimed.

Use of version 1/20 of the form became effective March 1, 2020. Employers will want to download an updated version of the form or confirm with their insurance carrier that their form has been updated.

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HR Works, Inc., headquartered at 200 WillowBrook Office Park in Fairport (Rochester), New York, with an office in East Syracuse, is a human resource management outsourcing and consulting firm serving clients throughout the United States. HR Works provides scalable strategic human resource management and consulting services, including: affirmative action programs; benefits administration outsourcing; HRIS self-service technology; full-time, part-time and interim on-site HR managers; HR audits; legally reviewed employee handbooks and supervisor manuals; talent management and recruiting services; and training of managers and HR professionals.