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Form C-105.55 Revocation of Election to Exclude Sole Shareholder or Two Executive Officers From Compensation Coverage - New York
What Is Form C-105.55?
This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form C-105.55?A: Form C-105.55 is a form used in New York to revoke the election to exclude a sole shareholder or two executive officers from workers' compensation coverage.
Q: Who can use Form C-105.55?A: Form C-105.55 can be used by sole shareholders or two executive officers who had previously elected to exclude themselves from workers' compensation coverage.
Q: What does the form do?A: The form revokes the previous election to exclude a sole shareholder or two executive officers from workers' compensation coverage, thus making them eligible for coverage.
Q: Why would someone revoke the election to exclude themselves from workers' compensation coverage?A: There could be various reasons, such as a change in circumstances or a desire to have workers' compensation coverage.
Form Details:
- Released on January 1, 2004;
- The latest edition provided by the New York State Workers' Compensation Board;
- 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 fillable version of Form C-105.55 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form C-105.55 Revocation of Election to Exclude Sole Shareholder or Two Executive Officers From Compensation Coverage - New York
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