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Get Ny C-105.54 1999-2024

S IN A SHELTERED WORKSHOP To: Chairman, Workers' Compensation Board To: (Print name and address of insurance carrier here) TAKE NOTICE, that under the provisions of Section 33.09 of the Mental Hygiene Law, as amended by Chapter 690 of the Laws of 1989, the office or agency named hereby elects to provide workers' compensation benefits (excluding benefits provided under Article Nine of the Workers' Compensation Law) to the participants in the sheltered workshop programs named below, with respect .

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