Get Ny C-105.52 2004-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
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
- Press the ‘Get Form’ button to access the NY C-105.52 form and open it in your preferred online editor.
- Fill in the name and address of the insurance carrier at the designated section near the top of the form.
- Provide the name of your corporation or association in the specified field to identify the entity making the exclusion.
- Next, enter the address of your corporation or association in the section provided.
- If applicable, specify the state under whose laws your corporation is incorporated.
- In the next field, name the unsalaried executive officer who is to be excluded from coverage.
- Fill in the title of the executive officer being excluded to clarify their role.
- Certify the action by adding the date and the name of the corporation or association once again.
- Include the signature of an authorized person from your organization to validate the election.
- If your corporation has a seal, place it in the designated section; if not, check the appropriate box.
- Finally, provide a contact telephone number for further communication and type the name and title of the person signing the form.
Complete your forms online to ensure compliance and streamline your document management process.
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.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.