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FORM 153 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - Dept. 153 DIA Use Only 600 Washington Street 7th Floor, Boston, Massachusetts 02111 http://www.mass.gov/dia.

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How to fill out the Form 153 online

Filling out Form 153 is an important step for corporate officers seeking an exemption from workers' compensation coverage in Massachusetts. This guide will provide clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete Form 153 online

  1. Press the ‘Get Form’ button to retrieve the document and open it in your preferred online editor.
  2. Carefully read the purpose and instructions section to understand the eligibility criteria for exemption.
  3. Fill in the name of the corporation and its address in the designated fields.
  4. Each officer or director must provide their signature in the appropriate section, along with their printed name and title.
  5. Indicate your choice by checking the appropriate box next to your name — whether you wish to exercise your right of exemption or not.
  6. Ensure all eligible corporate officers sign the form; keep in mind that there should not be more than four signatures.
  7. After completing all required fields, review the form for accuracy.
  8. Once verified, save the changes, and you may choose to download, print, or share the completed Form 153 as needed.

Start completing your Form 153 online today to ensure compliance and protect your rights.

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Form 105 is an Agreement to Extend the 180 Day Payment Without Prejudice Period (PWOP). Workers' Compensation insurers may send this form to you if you are injured and have not gotten an attorney.

As a sole proprietor you are not required to get workers' compensation insurance coverage. If you have employees, they must be covered. If you are a corporate officer that owns 25% or more of a company, you can file for an exemption so you will not be covered under a policy.

What you need. Corporate officers who own at least 25% interest in the corporation can file a Form 153 - Affidavit for Certain Corporate Officers or Directors with the Department of Industrial Accidents (DIA) to request an exemption from workers compensation coverage.

Workers' Compensation and Federal Taxes in Massachusetts Fortunately, the answer is no. Workers' compensation checks are not subject to federal taxes. You may collect your benefit payments without reporting them as taxable income in your federal filings.

Members of a LLC, partners of a LLP, or sole proprietors are exempt from workers' compensation insurance. Corporate officers who own at least 25% interest in the corporation can also file for an exemption.

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