Ny employer participation union 2026

1. Click ‘Get Form’ to open the ny employer participation union document in the editor.
2. Begin by entering the WCB Plan Number assigned to your Association, Union, or Trustees Plan at the top of the form.
3. Fill in the name of your Association, Union, or Trustees in the designated field.
4. Provide the Employer's Name and Address in section A. Ensure all details are accurate for proper identification.
5. In section B, enter the Employer's U.I. Registration Number. This is crucial for compliance with state regulations.
6. Indicate the approximate number of employees covered under section C.
7. If applicable, provide a different Payroll Records Address in section E.
8. Complete the termination date and send a copy of this Notice to the employer as required.
9. Finally, ensure that an authorized official signs and dates the form before submission.

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