105 8 workers print 2025

1. Click ‘Get Form’ to open the 105 8 workers print in the editor.
2. Begin by entering the name and address of your insurance carrier in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Next, provide the name of your municipal corporation or political subdivision along with its address. This identifies the entity bringing executive officers under coverage.
4. In the section for executive officers, describe them either by name, title, or department. Use clear and concise language to ensure all relevant officers are included.
5. An authorized representative must certify the election by filling in their name and title. This step confirms that the decision was made at a formal meeting.
6. Finally, add the date and signature of the authorized person. If applicable, affix your corporate seal or check the box if no seal exists.

Start using our platform today to easily complete your 105 8 workers print form online for free!