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Get Mdwcc Exclusion Form Ic-16 V. 01/2011. Insurance
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How to fill out the MDWCC Exclusion Form IC-16 V. 01/2011. Insurance online
Filling out the MDWCC Exclusion Form IC-16 can be straightforward when guided with clear instructions. This form allows certain officers or members of business entities in Maryland to elect exemption from workers' compensation insurance coverage efficiently.
Follow the steps to complete the form online.
- Press the ‘Get Form’ button to access the MDWCC Exclusion Form IC-16. This will open the form in an online editor for your convenience.
- Enter the company name in the designated field to identify the business entity electing exclusion.
- Fill out the company address, including street, city, state, and ZIP code, ensuring all details are accurate and up-to-date.
- Select the type of company from the available options, indicating whether it is a close corporation, general corporation, professional corporation, limited liability company, or farm corporation.
- Input the name of the insurance company in the appropriate field and the date you notified them about your decision to exclude from workers' compensation coverage.
- Complete the section for the officer or member electing exclusion, including the typed name, title, percentage of ownership, and personal signature.
- Review all entries for correctness before finalizing. Make necessary corrections to ensure accuracy.
- Once all fields are completed and verified, you can save changes, download the form, print it, or share it as necessary. Remember to keep a copy for your records.
Get started with filling out the MDWCC Exclusion Form online today!
Related links form
Maryland Workers' Compensation Requirements In Maryland any business who employs workers must get workers' compensation. A Sole Proprietor or Partner is excluded from coverage by default, but can elect to be included. Corporate officers are included for coverage, but can elect to be exempt.
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