The cost for an Affidavit of Exempt Status is $50.00 plus a $1.00 online processing fee. Please note the Workers' Compensation Commission will not accept ...

This form is to be signed and notarized at the start of a job/project for this contractor and is good for the job/project or any similar job/project performed ...

This form is to be signed and notarized at the start of a job/project for this contractor and is good for the job/project or any similar job/project performed ...

CC - Form 20, Proof of Loss (Death Claim). CC - Form 36A, Affidavit of Exempt Status Fill Out and File Your Affidavit of Exempt Status Online · CC - Form 36C ...

I, the undersigned, am exempt from the Oklahoma Workers' Compensation Act and hereby waive any claim against the State of Oklahoma, including but not limited ...

I, the undersigned, hereby solemnly swear or affirm, under penalty of perjury, that I am exempt from the Oklahoma Workers' Compensation Act and hereby waive ...

Affidavit of Exempt Status Under Workers' Compensation Act. Supporting Documents. PDF icon Affidavit of Exempt Status Under Workers' Compensation Act (44 KB).

6 июн. 2024 г. · The form to file with the Oklahoma Insurance Department is CC-Form-36A. This form is in effect as of January 2019 and no other forms will be accepted.

I do not have employees for whom I am obligated to pay compensation as set forth in the Act, or I am exempt from the Act. If I hire employees at any time ...

Knowingly providing false information on a notarized Affidavit of Exempt Status Under the Workers' Compensation Act shall constitute a misdemeanor.