Get What Is A U617 Form

The U617 form is a critical document for corporations in New York that choose to exclude executive officers from workers' compensation coverage. This guide will provide clear and concise steps to help you complete the form online, ensuring compliance with state regulations.

Follow the steps to complete the U617 form online successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the name of the corporation in the designated field. Ensure the name is exactly as it appears in the corporate registration documents.
3. Fill in the address of the corporation. Include the street address, city, state, and zip code.
4. Specify the state under which the corporation is incorporated in the provided space.
5. Select the type of corporation by marking either 'One-person corp.' or 'Two-person corp.' depending on your corporation's structuring.
6. List the executive officer(s) to be excluded from the policy: For one-person corporations, include your name and title. For two-person corporations, list the names and titles of both executive officers.
7. Complete the certification section: For one-person corporations, provide your name, the date of ownership, and your signature. For two-person corporations, both officers must provide their names, titles, date of ownership, signatures, and telephone numbers.
8. If applicable, affix the corporate seal in the designated area. If the corporation does not have a seal, indicate this in the checkbox.
9. Review the completed form for accuracy, then save your changes. You will then have the option to download, print, or share the completed form.

Start filling out your U617 form online today to ensure your corporation meets its legal obligations.