By signing this form, the undersigned reject benefits provided by the Illinois Workers'. Compensation Act as well as any Workers' Compensation and Employer's ...

A workers comp waiver form is used by employers to release an employee from liability regarding an injury that occurred at work.

An Application for Waiver form is available on the Workers' Compensation Board's website at http://www.maine.gov/wcb/departments/Coverage/waivers.html To ...

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

Download and fill out Form 153 - Affidavit of Exemption for Certain Corporate Officers or Directors and fax to (617) 727-7749. Online +. Download and fill ...

The Form 6B-1 is to be completed by all members of a partnership who wish to be excluded from workers' compensation insurance coverage. It is also used for such ...

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 ...

This form is used by the insurer to deny liability responsibility for workers' compensation benefits. Please Note: This form is required to be filed ...

I am an independent contractor, not an employee of the contractor. I do not want workers compensation insurance and understand that I am not eligible for ...

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