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.
Q: What is Form C-105.53?
A: Form C-105.53 is a document used in New York for revoking the election of a not-for-profit corporation or unincorporated association to exclude an unsalaried executive officer from coverage.
Q: What does the form revoke?
A: The form revokes the election made by a not-for-profit corporation or unincorporated association to exclude an unsalaried executive officer from coverage.
Q: Who can use Form C-105.53?
A: Form C-105.53 can be used by not-for-profit corporations or unincorporated associations in New York.
Q: What does it mean to exclude an unsalaried executive officer from coverage?
A: Excluding an unsalaried executive officer from coverage means that the officer will not be covered under the workers' compensation insurance policy.
Q: Why would someone want to revoke the election to exclude an unsalaried executive officer?
A: There can be various reasons for revoking the election, such as changes in the organization's structure or the officer's responsibilities.
Form Details:
Download a fillable version of Form C-105.53 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.