Form C-105.54 Notice of Election to Provide Workers' Compensation Benefits to Participants in a Sheltered Workshop - New York

Form C-105.54 Notice of Election to Provide Workers' Compensation Benefits to Participants in a Sheltered Workshop - New York

What Is Form C-105.54?

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-105.54?
A: Form C-105.54 is a notice of election to provide workers' compensation benefits to participants in a sheltered workshop in New York.

Q: What does Form C-105.54 do?
A: Form C-105.54 is used to notify the Workers' Compensation Board of New York about the election to provide workers' compensation benefits to participants in a sheltered workshop.

Q: Who needs to file Form C-105.54?
A: Any entity that operates a sheltered workshop in New York and elects to provide workers' compensation benefits to its participants needs to file Form C-105.54.

Q: Are there any filing fees for Form C-105.54?
A: No, there are no filing fees for Form C-105.54.

Q: Is Form C-105.54 specific to New York?
A: Yes, Form C-105.54 is specific to the state of New York.

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Form Details:

  • Released on March 1, 1999;
  • 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-105.54 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-105.54 Notice of Election to Provide Workers' Compensation Benefits to Participants in a Sheltered Workshop - New York

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