New york erm 14 fillable form 2025

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The document provides detailed instructions for completing the ERM-14 form, which is used to report changes in ownership, mergers, consolidations, or combinations of entities for experience rating purposes. It outlines the necessary information required, including entity names, ownership details, and transaction types. The form must be signed by an authorized individual and submitted to the appropriate rating organization within 90 days of any changes. Additionally, it includes guidance on using the PDF format of the form and emphasizes the importance of accuracy in reporting ownership information.

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How to submit an ERM-14 form?

The ERM-14 Form may be submitted via online application or PDF for reporting changes in ownership, mergers, consolidations, or a combination of entities. Submit Your Experience Rating Ownership Request Onlineincluding electronic signature!

When should an ERM-14 be completed?

The ERM-14 is used to report any of the following business changes: Business name and/or legal entity change. Sale, merger, acquisition or consolidation of entities. Transfer of assets. Formation of a new entity. Placement of a business into a trust or receivership. To determine the combinability of separate entities.

What is an ERM-14 used for?

The ERM-14 form is used to request ownership information and may be used in a variety of instances, including when there has been a change in ownership, when an entity needs to be added later or when multiple entities need to be considered for combinability.

Is an ERM-14 required?

Any business that finds itself in a transformative process will most likely be introduced to the ERM-14, a form required by many state workers compensation bureaus to report changes in a businesss ownership, structure or status.

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