Deficit Assessment Contractual Agreement Sample Contracts

THIS DEFICIT ASSESSMENT CONTRACTUAL AGREEMENT (“Agreement”) is
Deficit Assessment Contractual Agreement • July 1st, 2014 • New York

entered into by and between the New York State Workers’ Compensation Board (“State” or “WCB”), with offices located at 328 State Street, Schenectady, New York, 12305 and the above-named Member (“Member”) of the above-named Trust (“Trust”), said New York State Workers’ Compensation Board and Member to be collectively referred to herein as the “Parties.”

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