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
  • Maryland Officer Exclusion Form

Get Maryland Officer Exclusion Form

Date Stamp - WCC Use Only WORKERS COMPENSATION COMMISSION 10 East Baltimore Street Baltimore Maryland 21202-1641 TEL 410 864-5100 or 1 800 492-0479 TTD MD Relay Service 1 800 735-2258 http //www. wcc.state. md. us EXCLUSION FORM Pursuant to the provisions of Labor Employment Article 9-206 of the Annotated Code of Maryland officers or members of a Farm Corporation Close Corporation Professional Corporation or Limited Liability Company are covered .

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 Maryland Officer Exclusion Form online

This guide provides a clear and user-friendly approach to completing the Maryland Officer Exclusion Form online. By following these instructions, users can ensure they accurately fill out the form to indicate their exclusion from workers' compensation coverage as allowed under Maryland law.

Follow the steps to accurately complete the Maryland Officer Exclusion Form online.

  1. Click ‘Get Form’ button to obtain the Maryland Officer Exclusion Form and open it for editing.
  2. Identify the date when the company was notified about the intention to file the exclusion. Fill in this date in the designated field.
  3. Provide the name of the insurance company associated with the corporation in the specific field provided.
  4. Enter the name of the company where the exclusion is being filed.
  5. Select the type of company by choosing one of the options: Farm Corporation, Close Corporation, Professional Corporation, or Limited Liability Company.
  6. Fill in the address of the company, including the city, state, and ZIP code.
  7. Provide the typed name and title of the officer or member who is electing for exclusion.
  8. Indicate the percentage of ownership that the officer or member holds in the company.
  9. Sign the form personally, affirming the accuracy of the information provided.
  10. Review the completed form for accuracy and completeness before submission.
  11. Submit the original form to the Workers’ Compensation Commission, send a copy to the company's insurer, and retain a copy for your personal records.

Complete the Maryland Officer Exclusion Form online today to ensure proper coverage management.

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

Untitled - Maryland State Police
EXCLUSION FORM. INSTRUCTIONS: Pursuant to Labor & Employment Article 39-206, Annotated...
Learn more
MARYLAND
The Maryland Occupational Safety and Health Act of 1973 provides job safety and health...
Learn more
department of human resources family investment...
The applicant files for assistance on forms specified by the local department and approved...
Learn more

Related links form

TROY UNIVERSITY 2011-2012 TROY University 384-137 Revised 12/2009 Page 1 Of 2 M Post-Secondary Education - Troy TROY UNIVERSITY Effective Fall 2009 TROY Publication 384-155 Revised 4/2009 Master Of Science Request For Name Change - Trinity Washington University - Trinitydc

Questions & Answers

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

Contact support

To reach the Workers Compensation Commissioner in Maryland, you can visit their official website for contact details. Typically, they provide a phone number and email address for inquiries. Additionally, you can access forms and resources relevant to issues like the Maryland Officer Exclusion Form. This way, you can ensure your questions are directed to the right office.

The duration to settle a workers' compensation case in Maryland can vary widely based on the case complexity. Generally, settlements can take several weeks to several months, depending on the circumstances surrounding your claim. Factors like denied claims or disputes can extend this process. To aid in expediting your case, consider utilizing the Maryland Officer Exclusion Form, and seek guidance from US Legal Forms for effective management of your claim.

In Maryland, the timely filing limit for workers' compensation claims is generally two years from the date of the injury. However, this timeframe can vary depending on specific circumstances, so understanding your case details is vital. Filing your claim on time is essential to secure your benefits under the Maryland Officer Exclusion Form. To ensure compliance, consider leveraging services from US Legal Forms for accurate guidance.

In Hawaii, certain categories of employees are exempt from workers' compensation coverage, similar to Maryland. These may include certain corporate officers and individuals who have ownership stakes in a business. However, to ensure clarity on such exemptions, it is best to consult local laws and potentially utilize forms akin to the Maryland Officer Exclusion Form for precise documentation.

Employees like corporate officers, independent contractors, and certain volunteers may not receive workers' compensation benefits. Understanding who falls under these categories can prevent unexpected issues down the line. If you are unsure about your status, the Maryland Officer Exclusion Form provides clarity and helps ensure that you are both informed and compliant.

Certain groups are exempt from Maryland's workers' compensation insurance requirements, including business owners and corporate officers who choose to opt-out via a Maryland Officer Exclusion Form. Additionally, domestic workers and some agricultural workers may not require coverage. It’s essential to understand these exemptions to ensure compliance and adequate protection.

In Maryland, you typically have 60 days from the date of your injury to report it to your employer, and you must file your workers' compensation claim within two years. Timeliness is crucial, as delays can affect your benefits. Utilizing the Maryland Officer Exclusion Form can also influence your claim process, especially if you fall into an excluded category.

In Maryland, certain individuals may not be covered under workers' compensation, such as corporate officers, partners in a business, and certain sole proprietors. They have the option to file a Maryland Officer Exclusion Form if they wish to opt-out of coverage. Understanding these exclusions can help you make informed decisions about your business and protection against workplace injuries.

Employees are eligible for compensation when their injury “arises out of and in the course of employment.” This means that the injury has to: occur because of conditions required by the employer for doing the job, and. when the employee is doing the job.

While almost all employers in Maryland must provide workers' compensation coverage to employees, there are some exceptions. Businesses do not have to provide workers' compensation benefits to independent contractors or self-employed workers.

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 Maryland Officer Exclusion Form
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
Help Portal
Legal Resources
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
Help Portal
Legal Resources
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