Form C-105.53 Revocation of Election of a Not-For-Profit Corporation or Unincorporated Association to Exclude an Unsalaried Executive Officer From Coverage - New York

Form C-105.53 Revocation of Election of a Not-For-Profit Corporation or Unincorporated Association to Exclude an Unsalaried Executive Officer From Coverage - New York

What Is Form C-105.53?

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-105.53?
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.

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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-105.53 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-105.53 Revocation of Election of a Not-For-Profit Corporation or Unincorporated Association to Exclude an Unsalaried Executive Officer From Coverage - New York

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