Workers Comp Exemption Certificate. Both the employer and employees must be members of a religious sect that has existed continuously since Dec. This application for a Certification of Exemption from workers compensation in Indiana will be processed by verifying your status as an Independent Contractor.
Access common workers comp forms Ohio applications guides and helpful manuals for OH. The Workers Compensation Exemption Registry is for the purpose of establishing construction service providers who are exempt from workers compensation coverage and in no way reflects licensing or certification of any construction services provider. Upon issuance of a Certificate of Election to be Exempt the officer or member is not an employee and may not recover workers compensation benefits.
Workers Compensation Exemption Certificate Clearance The Indiana Department of Revenue DOR issues a Workers Compensation Exemption Certificate Clearance to individual taxpayers who are independent contractors or otherwise not required to carry workers compensation insurance on themselves under the Workers Compensation Act of Indiana.
The Ohio Bureau of Workers Compensation OBWC or BWC provides medical and compensation benefits for work-related injuries diseases and deaths. Read complete and submit the entire original and notarized application and waiver form with a non-refundable 125 fee to the Department. You may submit federal forms 4029 and 4361 with this application if approved. Mar 02 2021 Certificate of Attestation of Exemption CE-200 Featured Resources.