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WORKERS' COMPENSATION COMMISSION Licensing Agency Stamp Required APPLICATION FOR CERTIFICATE OF COMPLIANCE INSTRUCTIONS: Please review the instructions on page 2 completely prior to completing this.

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When a worker is injured on the job, workers' comp covers the cost of their medical bills. It also provides indemnity benefits to help cover the employee's loss of income. In the event of permanent impairment or disability, workers' comp can provide disability compensation for the life of the worker.

With a few exceptions, every employer is required to provide workers' compensation coverage for all its employees. Refer to Utah Code Ann. §34A-2-201. The Utah Department of Insurance establishes basic premium rates.

To receive this certificate clearance, you must meet the following requirements: All returns must be filed up to date. All outstanding delinquencies must be paid in full. All payments must be made in guaranteed funds. Form WCE-1 must be filed along with $20 non-refundable application fee in guaranteed funds.

However, there are exclusions to this rule for some employers listed below: Any public employer including cities, counties, state agencies and state universities. Building and construction contractors for public employers. Motor bus companies and motor carriers.

Penalties​ If an employer fails to maintain workers compensation coverage, the consequences can be severe. They include: Penalties of at least $1,000; Injunctions prohibiting continued business operations; and.

In order to apply for or renew an exemption from workers' compensation law, the exemption applicant must complete and submit a Notice of Election to be Exempt application online to the Florida Division of Workers' Compensation.

In Utah, individuals with no employees and who hire out their services to a hiring employer may be considered “statutory employees.” These individuals are allowed to waive their rights to workers' compensation coverage by obtaining a Workers' Compensation Coverage Waiver (WCCW).

When a worker is injured, each missed day of work represents lost wages. In workers' compensation insurance, indemnity benefits are paid to the employee to help them cover their loss of income. Payments are a portion of the worker's average weekly wage, and take into consideration the extent of the disability.

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© 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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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