WORKERS' COMPENSATION EXEMPTION CERTIFICATION. I certify that I do not have any employees and am exempt from carrying Workers' Compensation insurance. If ...

This form must be completed by contractors to claim Workers' Compensation exemption when they have less than 3 workers and do not have coverage through an ...

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' ...

Please complete the following information if the applicant is a contractor claiming exemption from providing workers' compensation insurance. The undersigned ...

4 февр. 2022 г. · Exemption from Workers' Compensation Insurance Requirements Form ... Adobe PDF Document File Icon DEP 55-241 Worker's Compensation Exemption Form.

Oregon Revised Statute chapter 656 provides that all workers are subject to the workers' compensation statutes, unless they are exempted as nonsubject.

If you are not eligible for exemption, you must provide a certificate of insurance from your workers' compensation insurance carrier. To demonstrate exemption ...

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.

Applicant, pursuant to KRS 342. 610 (5), hereby declares exemption from the requirement to obtain workers' compensation insurance coverage as set forth in ...

Not-for-profit organizations can use New York Business Express (NYBE) to obtain and file a Certificate of Attestation of Exemption from Workers'. Compensation ...