Form SI-04 "Letter of Credit" - Kentucky

What Is Form SI-04?

This is a legal form that was released by the Kentucky Department of Workers' Claims - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2004;
  • The latest edition provided by the Kentucky Department of Workers' Claims;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SI-04 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Workers' Claims.

ADVERTISEMENT
ADVERTISEMENT

Download Form SI-04 "Letter of Credit" - Kentucky

Download PDF

Fill PDF online

Rate (4.4 / 5) 17 votes
Page background image
Form SI-04
Name of company must not appear in the
Rev. 1/04
body of this document. If it does, it will
be returned.
Commonwealth of Kentucky
Department of Workers’ Claims
Prevention Park
657 Chamberlin Ave.
Frankfort, KY 40601
Gentlemen:
We hereby issue our Irrevocable Letter of Credit No.
in
your
favor, for drawings up to the aggregate amount of U.S. $
effective
immediately and expiring at this office with our close of business on
and available upon presentation of your sight draft(s) drawn on us, each draft, for all or
any part of this Credit, to be marked “Drawn under
Bank,
N.A.
Letter of Credit No.
.” Drafts drawn under and in compliance with the terms of
this Letter of Credit will be duly honored if presented at this office on or before the expiry
date or any automatically extended date.
Except as stated herein, this undertaking is not subject to any condition or
qualification.
The obligation of the Bank under this Letter of Credit shall be the
individual obligation of the Bank, in no way contingent upon reimbursement with respect
thereto.
This Letter of Credit shall be deemed automatically extended without amendment
for one year from the expiry date hereof, or any future expiration date, unless sixty (60)
days prior to an expiration date we shall notify you by certified mail that we elect not to
renew this Letter of Credit for any such additional period. Upon receipt of a sixty-day
(60) election not to renew, the Department of Workers’ Claims is hereby vested with the
authority to call in the funds in their entirety represented by this Letter of Credit.
It is a further condition of this Letter of Credit that if this Letter of Credit expires
during any interruptions of the Bank’s conduct of business caused by an act of God, riot,
civil commotion, insurrection, war or other cause beyond the Bank’s control, or by any
strike or lockout, the expiry date hereof shall be automatically extended by the period of
the interruption.
Should you have occasion to communicate with us regarding the Credit, kindly
direct your communication to the attention of our Letter of Credit Department making
specific reference to our Credit No.
.
This Letter of Credit is subject to and governed by the Uniform Customs and
Practice for Documentary Credits (1993 Revision) of the International Chamber of
Commerce (Publication No. 500).
If any proceedings are initiated with respect to payment of this Letter of Credit, it
is agreed that such proceedings shall be subject to Kentucky courts of Law.
Form SI-04
Name of company must not appear in the
Rev. 1/04
body of this document. If it does, it will
be returned.
Commonwealth of Kentucky
Department of Workers’ Claims
Prevention Park
657 Chamberlin Ave.
Frankfort, KY 40601
Gentlemen:
We hereby issue our Irrevocable Letter of Credit No.
in
your
favor, for drawings up to the aggregate amount of U.S. $
effective
immediately and expiring at this office with our close of business on
and available upon presentation of your sight draft(s) drawn on us, each draft, for all or
any part of this Credit, to be marked “Drawn under
Bank,
N.A.
Letter of Credit No.
.” Drafts drawn under and in compliance with the terms of
this Letter of Credit will be duly honored if presented at this office on or before the expiry
date or any automatically extended date.
Except as stated herein, this undertaking is not subject to any condition or
qualification.
The obligation of the Bank under this Letter of Credit shall be the
individual obligation of the Bank, in no way contingent upon reimbursement with respect
thereto.
This Letter of Credit shall be deemed automatically extended without amendment
for one year from the expiry date hereof, or any future expiration date, unless sixty (60)
days prior to an expiration date we shall notify you by certified mail that we elect not to
renew this Letter of Credit for any such additional period. Upon receipt of a sixty-day
(60) election not to renew, the Department of Workers’ Claims is hereby vested with the
authority to call in the funds in their entirety represented by this Letter of Credit.
It is a further condition of this Letter of Credit that if this Letter of Credit expires
during any interruptions of the Bank’s conduct of business caused by an act of God, riot,
civil commotion, insurrection, war or other cause beyond the Bank’s control, or by any
strike or lockout, the expiry date hereof shall be automatically extended by the period of
the interruption.
Should you have occasion to communicate with us regarding the Credit, kindly
direct your communication to the attention of our Letter of Credit Department making
specific reference to our Credit No.
.
This Letter of Credit is subject to and governed by the Uniform Customs and
Practice for Documentary Credits (1993 Revision) of the International Chamber of
Commerce (Publication No. 500).
If any proceedings are initiated with respect to payment of this Letter of Credit, it
is agreed that such proceedings shall be subject to Kentucky courts of Law.