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

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' ...

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 ...

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.

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

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 ...

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

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 ...

This application for a Certification of Exemption from worker's compensation in Indiana will be processed by verifying your status as an Independent. Contractor ...