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Get Ny C-105.54 1999-2026
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How to fill out the NY C-105.54 online
The NY C-105.54 form is essential for offices and agencies electing to provide workers' compensation benefits to participants in sheltered workshops. This guide will walk you through the steps needed to complete this form online efficiently and accurately.
Follow the steps to complete the form with ease.
- Use the ‘Get Form’ button to access the NY C-105.54 and open it in your editing tool.
- In the first section, provide the name of your office or agency clearly as it should appear. Ensure accuracy to avoid issues.
- Next, enter the full address of your office or agency, including street, city, state, and zip code.
- In the 'Sheltered Workshop Programs to be Included in Policy' section, list the names of the programs that will be covered. Be consistent with the official names.
- Fill in the address for each of the sheltered workshop programs listed, similar to how you filled in your agency’s address.
- Specify the number of participants for each sheltered workshop program. This information may be critical for insurance coverage.
- The authorized person must print their name in the designated area and confirm their title within the organization.
- The same authorized person should now certify the election by signing their name.
- Include a telephone number and the date of signing to finalize this section of the form.
- Once all sections are filled, you can choose to save your changes, download, print, or share the completed form as needed.
Start completing your documents online today for a more efficient process.
A new employee should fill out several key documents, including the W-4 for tax withholdings, the I-9 for proving eligibility to work, and the NY C-105.54 for disability coverage. Completing these forms ensures that the employee receives proper benefits and meets compliance requirements. Use platforms like UsLegalForms to streamline this paperwork process.
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