Form SI-26 Notice of Election by a Political Subdivision or Fire District to Secure Compensation as a Self-insure - New York

Form SI-26 Notice of Election by a Political Subdivision or Fire District to Secure Compensation as a Self-insure - New York

What Is Form SI-26?

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 SI-26?
A: Form SI-26 is a notice of election by a political subdivision or fire district in New York to secure compensation as a self-insurer.

Q: Who uses Form SI-26?
A: Political subdivisions or fire districts in New York use Form SI-26.

Q: What is the purpose of Form SI-26?
A: The purpose of Form SI-26 is to notify the relevant authorities of a political subdivision or fire district's election to secure compensation as a self-insurer.

Q: How do I obtain Form SI-26?
A: Form SI-26 can be obtained from the relevant authorities in New York.

Q: Are there any fees associated with Form SI-26?
A: There may be fees associated with filing Form SI-26. It is best to contact the relevant authorities for accurate fee information.

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Form Details:

  • Released on November 1, 2016;
  • 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 SI-26 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form SI-26 Notice of Election by a Political Subdivision or Fire District to Secure Compensation as a Self-insure - New York

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