We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Form 153

Get Form 153

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.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

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.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Form 153 - Affidavit of exemption for Certain...
If there has been ANY change in status of a corporate officer or director, a new Form 153...
Learn more
Form 153 - Certification of Dissertation - School...
Form 153 – Certification of Dissertation. Navigate.
Learn more
Pennsylvania Child Protection Background Clearance...
PA ACT 153 ... ACT 153 and have submitted reports as originals. Copies of ... FBI Criminal...
Learn more

Related links form

Wollongong Diocese Sports Council Team Selection Sheet Andrija Puharich Pdf Request For Tenancy Approval - Huntingtonnyhousingorg Tenant Approval Letter

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

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.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Form 153
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232