Form F354 Affidavit of Workers' Compensation Payments - New York City

Form F354 Affidavit of Workers' Compensation Payments - New York City

What Is Form F354?

This is a legal form that was released by the New York City Employees' Retirement System - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form F354?
A: Form F354 is the Affidavit of Workers' Compensation Payments in New York City.

Q: What is the purpose of Form F354?
A: The purpose of Form F354 is to report workers' compensation payments made to an injured employee in New York City.

Q: Who needs to file Form F354?
A: Employers in New York City who are required to provide workers' compensation to their employees need to file Form F354.

Q: When should Form F354 be filed?
A: Form F354 should be filed annually by March 31st for the previous calendar year.

Q: What information is required on Form F354?
A: Form F354 requires information about the employer, injured employee, and the workers' compensation payments made.

Q: Are there any penalties for not filing Form F354?
A: Yes, failure to file Form F354 may result in penalties and fines.

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Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the New York City Employees' Retirement System;
  • 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 printable version of Form F354 by clicking the link below or browse more documents and templates provided by the New York City Employees' Retirement System.

Download Form F354 Affidavit of Workers' Compensation Payments - New York City

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