FDM Applications New Business Application (PDF) New Business Application (Fillable)

FDM Renewals Renewal Form (PDF) Renewal Form (Fillable)

FDM "Notice of Injury"  Firefighter online form Firefighter form for faxing 845-352-2022

How did our service (good or bad) meet your expectations. Email us. Include your name and department. Let us know if we have your permission to print your comments in our next FDM Newsletter issue.

Fire Districts of New York Mutual Insurance Company, Inc. takes pride in knowing that we are there for our volunteers and offer the best possible claim service possible as regulated under the Workers’ Compensation Laws of New York State.