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Or: CE-200, Affidavit That An OUT-OF-STATE OR FOREIGN EMPLOYER Working In New York State Does Not Require Specific New York State Workers’ Compensation And/Or Disability Benefits Insurance Coverage (Affidavits must be stamped as received by the N.Y.S. Workers’ Compensation Board) OR (b) Either: DB-120.1, Certificate of Disability Benefits Insurance Or: DB-820/829, Certificate/Cancellation of Insurance OR (c) DB-155, Certificate of Disability Benefits Self-Insurance 65