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Get STATE OF NEW YORK - WORKERS ' COMPENSATION BOARD RENEWAL APPLICATION FOR LICENSE TO APPEAR ON

Tion Law and Rules Application is made under (CHECK ONE): q Section 50 3-b q Section 50 3-d If application is made for renewal of a license on behalf of a corporation, separate forms must be filled out and submitted by the president/CEO, the secretary, and the treasurer. If application is made on behalf of a partnership, separate forms must be filled out and submitted by each partner. Applicant's failure to disclose fully and accurately any fact or information called for by any question may re.

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