Purpose of form: Used by a Reimbursing employer to withdraw their election to pay reimbursements.
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. Employer must be a reimbursing employer for a minimum of two (2) calendar years. Application must be received no later than December 1 to be effective at the beginning of the next calendar year.
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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