This Online Submission process walks you through the required fields for an Exemption from Workers' Compensation Insurance.

To be exempt from worker's compensation, you must submit an affidavit, certifying that you do not employ anyone in a manner that is subject to the workers' ...

I certify under penalty of perjury under the laws of the State of California that the information provided on this exemption statement is true and accurate.

I certify that I do not have any employees and am exempt from carrying Workers' Compensation insurance. If I hire any employees in the future, ...

You have employees. For exemption from workers' compensation, you must complete the requested information, check only one of the boxes, and sign the form.

I understand and agree that by signing this waiver, I will not be entitled to coverage under the insured's workers' compensation insurance policy with the above ...

The California Workers' Comp Exemption is a form that employers must fill out in order to exempt certain employees from the state's workers' compensation ...

I understand and agree that by signing this waiver, I will not be entitled to coverage under the insured's workers' compensation insurance policy with State ...

I understand and agree that by signing this waiver, I will not be entitled to coverage under the insured's workers' compensation insurance policy with the above ...

Оценка 4,9 (221) Exemption form for California Contractors State Licensing Board. Contractors must file proof of coverage and complete the exemption form if they are exempt from ...