Get South Dakota Workers Compensation Rejection Of Coverage

Filling out the South Dakota Workers Compensation Rejection of Coverage form is essential for corporate officers and members of limited liability companies who wish to opt out of workers' compensation coverage. This guide will provide you with clear, step-by-step instructions to complete the online form accurately.

Follow the steps to complete the rejection of coverage form.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in the names of the officer(s) or member(s) rejecting coverage. Clearly print each name in the designated area.
3. In the title field, provide the official title for each individual listed. Ensure that this is accurate and reflective of their position.
4. Each person must then sign in the signature field. It is crucial that all signatures are handwritten and dated appropriately in the space provided.
5. Collectively, review all fields for completeness and accuracy. Make any necessary corrections before final submission.
6. Once you have confirmed that all information is complete, you may proceed to save your changes, download the completed form, or prepare it for printing.
7. Submit the completed form to the SFM either by mailing it to PO BOX 582918, Minneapolis MN 55458-2918, or by faxing it to (952) 838-2050.

Take control of your coverage options by filling out the South Dakota Workers Compensation Rejection of Coverage form online today.