Form Bt 199 PDF Details

In order to file a workers' compensation claim in the state of California, you will need to fill out Form BT 199. This form is used to report an injury or illness that occurred at work, and it must be filed within one year of the incident. The information on Form BT 199 will help determine if your injury is covered by workers' compensation, and it will also help establish the amount of benefits you may be eligible for. Be sure to complete all sections of the form accurately and submit it as soon as possible. If you have any questions about Form BT 199, contact the workers' compensation board in your area.

QuestionAnswer
Form NameForm Bt 199
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesBT 199 09 ok bt 199 form

Form Preview Example

Form BT-199

Revised 8-2009

OTC

OKLAHOMA TAX COMMISSION

 

REQUEST FOR COPY OF BUSINESS TAX REPORT/RETURN

Do not sign this form unless all applicable lines have been completed. Request may be rejected if the form is

incomplete, illegible, or any required line was blank at the time of signature.

Tip: You may be able to get Business Report information from other sources. If you had your Business Tax Report completed by a

paid preparer, they should be able to provide you a copy of the report.

1a. Name of Taxpayer/Corporation/Business Owner

 

 

 

1b. Social Security Number or Employer Identiication Number of 1a.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2a. DBA (Doing Business As) Name

 

 

 

2b. Account/Permit Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Contact Person Name and Position with Company, Address, and Telephone Number

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Position:

 

 

 

 

 

Telephone Number:

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

If the Business Tax Report is to be mailed to a third party (such as an accountant), enter the third party’s name, address, and telephone number.

 

The Oklahoma Tax Commission has no control over what the third party does with the Business Tax Report.

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

Telephone Number:

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

State

 

Zip

 

 

 

 

 

 

 

 

 

 

Caution: If a third party requires you to complete Form BT-199, do not sign if lines 6 and 7 are blank.

 

 

 

 

 

 

 

 

 

 

 

6.

Business Tax Report requested. Sales, Franchise, etc. and all attachments as originally submitted to the Oklahoma Tax Commission, including

 

schedules, or amended reports. Enter only one form number. If you need more than one type of report, you must complete another Form BT-199.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form Number: _________________ Note: If the copies must be certiied for court or administrative proceedings, check here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Period requested. Enter the report period. If you are requesting more than twelve report periods, you must attach another Form BT-199.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Fee. Copies of Business Tax Reports are $0.25 per page with no minimum charge per request. Certiied copies of Business Tax Reports are a

 

maximum of $1.00 per copied page per request.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a, or a person authorized to obtain the tax report

 

requested. If signed by a person other than the taxpayer, Form BT-129 (Power of Attorney) must be attached.

 

 

 

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

Date:

 

 

 

Title: (if line 1a above is a corporation, partnership, estate, or trust)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail To: Oklahoma Tax Commission

Post Ofice Box 26920

Oklahoma City, OK 73126-0920

How to Edit Form Bt 199 Online for Free

Whenever you need to fill out Form Bt 199, you won't need to download and install any kind of programs - just try using our PDF tool. Our development team is always endeavoring to improve the tool and ensure it is even easier for users with its many features. Enjoy an ever-improving experience now! Here is what you'd want to do to get going:

Step 1: Simply press the "Get Form Button" at the top of this page to start up our pdf file editing tool. Here you will find all that is needed to work with your file.

Step 2: Using this handy PDF tool, you can do more than merely fill out blanks. Edit away and make your forms appear perfect with customized textual content incorporated, or optimize the file's original content to excellence - all that backed up by the capability to add any kind of graphics and sign the file off.

This PDF form requires specific details to be entered, thus ensure that you take your time to fill in precisely what is required:

1. Whenever completing the Form Bt 199, be sure to complete all necessary blanks in their relevant section. This will help to expedite the work, allowing for your details to be handled promptly and appropriately.

Form Bt 199 writing process clarified (portion 1)

2. Your next stage is to fill out all of the following fields: If the Business Tax Report is to, Name, Address, Telephone Number, City, State, Zip, Caution If a third party requires, Business Tax Report requested, Form Number Note If the copies, Period requested Enter the report, Fee Copies of Business Tax, maximum of per copied page per, Signature of taxpayers I declare, and requested If signed by a person.

Step no. 2 in completing Form Bt 199

Always be really careful while filling in Signature of taxpayers I declare and City, since this is the section in which a lot of people make a few mistakes.

3. The third part is generally simple - complete every one of the form fields in Signature, Date, Title if line a above is a, Mail To Oklahoma Tax Commission, and Post Ofice Box Oklahoma City OK to complete this segment.

Title if line a above is a, Post Ofice Box Oklahoma City OK, and Mail To Oklahoma Tax Commission in Form Bt 199

Step 3: Right after you have glanced through the information in the blanks, just click "Done" to complete your form. Sign up with us now and easily use Form Bt 199, prepared for download. All adjustments made by you are kept , which means you can change the file further when required. Here at FormsPal, we strive to guarantee that all your details are stored protected.

Form Bt 199 isn’t the one you’re looking for?

Related Documents