Get Ct Form Number Sif001 Second Injury Fund Fy09 1 Remittance ...

The CT Form Number SIF001 is essential for remitting payments to the Second Injury Fund. This guide provides a clear, step-by-step approach to completing the form online, ensuring accuracy and compliance for all users.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the insurance company name in the designated field to ensure proper identification of your submission.
3. Fill in the NAIC number, which includes both group and individual numbers, to verify the insurance company's registration.
4. Provide the contact person's name, title, phone number, fax number, and e-mail address to facilitate communication regarding the remittance.
5. Specify where to remit payment by entering the address: Treasurer, State of Connecticut, Second Injury Fund, Lock Box 30467, Hartford, CT 06150.
6. Include a detailed policy listing, both standard and written, reconciling with the remittance submitted. Ensure this listing includes the policy number, premium, effective date, and type of policy.
7. Note down any deductibles or retroactively rated policies, endorsements, and audits that occurred within the quarter.
8. Calculate and fill in the total payments for periods indicated, ensuring accuracy and compliance with the stated guidelines.
9. Certify the accuracy of the premiums reported by signing the form, including your title and date of submission.
10. After completing the form, save your changes, download a copy, print it, or share the completed document as necessary.

Complete your remittance process efficiently by filling out the CT Form Number SIF001 online today.