Purpose of form: Application by a Reimbursing
Employer for withdrawal of election to pay reimbursements. A voluntary election of coverage may
be withdrawn at the employer's written request
on or before the final due date of the first
contribution and wage report due as a result
of the election. For example, an employer who
voluntarily elects coverage in December of a
year may withdraw the election on or before January
31 of the following year.
Who can use this form: Political Subdivisions,
Federally Recognized Tribes, and Non-profit
501(c)(3) organizations who have previously
elected to pay reimbursements for benefits
paid to its former employees in lieu of paying
contributions (taxes) under the law.
Requirements: This election must be signed by a duly authorized official of the organization
making this election.
If you have any questions, contact the nearest Texas Workforce
Commission Tax Office for assistance.
Download Word97 Documents Application for Withdrawal of Election to Pay Reimbursements (C-6F) |
Download PDF Files Application for Withdrawal of Election to Pay Reimbursements (C-6F) |
Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to the TWC Tax Department, PO Box 149037, Austin, TX 78714-9037, (512) 463-2699. Individuals may receive and review information that TWC collects about the individual by emailing to open.records@twc.state.tx.us or writing to TWC Open Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.
Where do I mail Tax Forms?
Please e-mail questions or comments to tax@twc.state.tx.us
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