Coverage Election By Employees Who Are Members Of Partnership {6B-1} | Pdf Fpdf Doc Docx | Connecticut

 Connecticut   Workers Compensation 
Coverage Election By Employees Who Are Members Of Partnership {6B-1} | Pdf Fpdf Doc Docx | Connecticut

Last updated: 6/12/2023

Coverage Election By Employees Who Are Members Of Partnership {6B-1}

Start Your Free Trial $ 13.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

6B-1 - COVERAGE ELECTION BY EMPLOYEES WHO ARE MEMBERS OF A PARTNERSHIP. This form is used by employees who are members of a partnership in Connecticut to make an election regarding their coverage under the Workers' Compensation Act. They can choose to be excluded from coverage or revoke any previous election of exclusion. The form requires information about the partnership, including its name and address, as well as details about each partner, such as their names and dates of birth. It also includes an affirmation stating that workers' compensation insurance is required for covered employees. The accuracy of the information provided on the form is the responsibility of the person filing it. www.FormsWorkflow.com

Related forms

Our Products