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  • Ny C-105.52 2004

Get Ny C-105.52 2004-2025

FIT UNINCORPORATED ASSOCIATION TO EXCLUDE AN UNSALARIED EXECUTIVE OFFICER FROM COVERAGE PURSUANT TO SECTION 54, SUBDIVISION 6 OF THE WORKERS' COMPENSATION LAW To: (Print nameName and address of insuranceof carrier here) (Print and Address Insurance Carrier Here) TAKE NOTICE that under the provisions of Section 54, subdivision 6, of the New York State Workers' Compensation Law as amended, the corporation or association named below elects to exclude the unsalaried executive officer named below f.

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How to fill out the NY C-105.52 online

The NY C-105.52 form is a crucial document for not-for-profit corporations and unincorporated associations in New York that wish to exclude an unsalaried executive officer from workers' compensation coverage. This guide will walk you through the steps to fill out the form accurately and efficiently online.

Follow the steps to complete the NY C-105.52 online

  1. Press the ‘Get Form’ button to access the NY C-105.52 form and open it in your preferred online editor.
  2. Fill in the name and address of the insurance carrier at the designated section near the top of the form.
  3. Provide the name of your corporation or association in the specified field to identify the entity making the exclusion.
  4. Next, enter the address of your corporation or association in the section provided.
  5. If applicable, specify the state under whose laws your corporation is incorporated.
  6. In the next field, name the unsalaried executive officer who is to be excluded from coverage.
  7. Fill in the title of the executive officer being excluded to clarify their role.
  8. Certify the action by adding the date and the name of the corporation or association once again.
  9. Include the signature of an authorized person from your organization to validate the election.
  10. If your corporation has a seal, place it in the designated section; if not, check the appropriate box.
  11. Finally, provide a contact telephone number for further communication and type the name and title of the person signing the form.

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In New York, the timeline to receive workers' compensation benefits can vary. Typically, after filing your claim, it may take several weeks for your application to be processed and for you to receive your NY C-105.52 benefits. Delays can occur, so staying in touch with your employer or insurance company can help ensure your claim is moving forward.

When speaking with a workers' comp claims adjuster, avoid making statements that could be perceived as minimizing your injury or admitting fault. Don't say things like 'I'm fine' if you're not; this can impact your claim. It's crucial to stick to factual information about your injury and to consult the NY C-105.52 guidelines for support in your communication.

In New York, workers are eligible for workers' compensation benefits if they are injured on the job, regardless of who caused the injury. This includes full-time and part-time employees, as well as certain independent contractors. If your employment situation meets the criteria set out in the NY C-105.52, you likely qualify for benefits, ensuring you receive compensation for medical costs and lost wages.

If you need to find your workers' comp claim number, check the documentation you received after your claim was filed, such as the NY C-105.52 form. Alternatively, you can contact your employer or their insurance company for assistance. They can provide you with the claim number and any other information you may need about your case.

To get your workers' comp claim number, you should first report your injury to your employer. They will file a claim with their insurance company. Once the claim is accepted, the insurance company will provide you with the NY C-105.52 form, which includes your claim number. It's essential to keep this information handy for future reference.

Workers' compensation in New York is calculated based on your average weekly wage and the nature of your injury. The formula takes into account your earnings and provides compensation that reflects two-thirds of your wage, within the limits set by the state. Ensure you fill out the NY C-105.52 correctly to facilitate accurate calculations.

In New York, you can receive workers' compensation benefits for as long as you remain eligible and your medical condition warrants it. Generally, benefits continue until you reach maximum medical improvement or the end of your approved treatment. Staying informed about your status under the NY C-105.52 is essential.

Filing for workers' compensation in New York involves several steps. First, notify your employer about your injury, then complete the necessary paperwork including the NY C-105.52 form. Submitting these documents promptly is crucial for receiving timely benefits.

The amount you can receive from workers' compensation in New York varies based on your average weekly wage and the extent of your injury. Typically, you can receive around two-thirds of your average weekly wage, up to a maximum set by the state. The NY C-105.52 form plays a key role in calculating your potential payout.

To obtain workers' compensation in New York, you need to report your injury to your employer immediately. Once reported, you will need to file a claim using the appropriate forms, including the NY C-105.52. This process facilitates access to the benefits you deserve and ensures you are covered under the state's workers' compensation laws.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232