Get Ny C-105.51 2004-2025

Filling out the NY C-105.51 form is essential for corporations seeking to exclude certain executive officers from workers' compensation coverage under New York State law. This guide provides clear, step-by-step instructions to help users navigate the form easily and effectively.

Follow the steps to complete the NY C-105.51 form online.

1. Click the ‘Get Form’ button to access the form and open it in your editing platform.
2. Provide the name of the corporation in the designated field. Ensure that the name is correct and matches your official documents.
3. Input the address of the corporation. Confirm that the address accurately reflects where the business operates.
4. Specify the state under the laws in which the corporation is incorporated.
5. Select the type of corporation by checking either the ‘One-person corp.’ or ‘Two-person corp.’ box.
6. List the names and titles of the executive officer(s) to be excluded from coverage. Ensure spelling and titles are accurate.
7. For a one-person corporation, complete the certification section by entering your name, the date you became the sole owner, and adding your signature.
8. For a two-person corporation, both officers must certify by entering their names, titles, and signing the document along with the date.
9. If applicable, affix the corporate seal in the designated area. If the corporation does not have a seal, check the indicated box.
10. Review all filled information for accuracy and completeness before proceeding to save changes or finalize the document.
11. Once the form is completed, choose to download, print, or share the form as necessary.

Complete your documents online today for a seamless filing experience.