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.