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Get and Sign New York Liability Sole Form

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(Print namename and address of insuranceof carrier here) THIS ELECTION IS EFFECTIVE AS OF THE DATE FILED WITH THE INSURANCE CARRIER TAKE NOTICE that under the provisions of Sec. 54, subd. 8, of the New York Workers' Compensation Law as amended, the partnership as defined in Section 10 of the Partnership Law of New York State or the limited liability partnership (LLP) or professional limited liability partnership (PLLP) or limited liability company (LLC) or professional limited liability...
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