C6 – Permission for Special Purposes A link to the Portable Document Format (PDF) of this form is provided below. The content of the form is duplicated in HTML following the PDF link.

The company would complete a form C6 for full satisfaction of a charge or C7 for partial satisfaction. A statement is made by a director and secretary of the company or by two directors regarding the satisfaction.

By INITIALING this Refund Option, I HEREBY make application for the refund of my member contributions to the CORRECTIONS OFFICER RETIREMENT PLAN (CORP) as well as any enhanced refund as provided by law.

Fax form to: 518-435-8605 (see instructions) Mark an X in the box if federal election is pending ..... Telephone number ( ) State of incorporation Date of incorporation Date began business in New York State Date received Number of shares issued and outstanding CT-6 (12/20) Legal nameofcorporation DBA (if any)or trade name

Form No. Description: Act Section: Form / Access: A1: Company incorporation. If filing a G5 with A1 please include an additional fee of €15: 22(2)/24: File Online: A4: Application by a public limited company to commence business and declaration of particulars: 1010(2) A4 form fillable: a/c 1: Opening a deposit account with the CRO.

a copy of this form with your request for a hearing on the MD WCC "Issues" form (H24R) selecting the appropriate Temporary Total Disability issue (#13 or #17).

Form C6 – Application For A Separation Refund or Deferred Annuity: • Complete the top portion of the C6 form • Initial under REFUND OPTIONS • Initial under TAXABLE MONIES • Have a WITNESS sign the form; anyone can sign as a witness, it does not have to be notarized. • Submit this form to your employer’s payroll office. If you are ...

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