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CONTRACTORS STATE LICENSE BOARD STATE OF CALIFORNIA 9821 Business Park Drive, Sacramento, CA 95827-1703 Mailing Address: P.O. Box 26000, Sacramento, California 95826-0026 1-800-321-CSLB (2752) www.cslb.ca.gov.

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How to fill out the WC Exemption Form (PDF) online

Filling out the WC Exemption Form is a crucial step for individuals or businesses seeking an exemption from Workers' Compensation requirements in California. This guide provides clear, step-by-step instructions designed to assist users in completing the form accurately and efficiently online.

Follow the steps to complete the WC Exemption Form online.

  1. Press the ‘Get Form’ button to access the WC Exemption Form and open it in your preferred PDF editor.
  2. Identify the applicable exemption reason. Choose one of the two options provided on the form by placing a mark in the box next to your selected statement. Ensure you understand the implications of each choice.
  3. Enter your business name in the designated field as it appears in the Contractors State License Board (CSLB) records. This ensures consistency and prevents potential processing issues.
  4. Fill in your license or application fee number accurately. This is critical for the CSLB to identify your records.
  5. Provide your business mailing address, including street number, P.O. Box, city, state, and ZIP code. If your address has changed, click the box indicating a new address.
  6. Input your business phone number, fax number, and email address. This contact information should be current to facilitate communication regarding your application.
  7. Review the certification statement carefully. By signing, you attest that the information provided is true and that you acknowledge the legal consequences of submitting false information.
  8. Complete the signature section with your signature, print name, and the date. Specify the location where you are signing the form.
  9. Once you have filled out the form, review all the information for accuracy. Make necessary corrections before finalizing your submission.
  10. Save the changes made to the form. You may then choose to download your completed version, print it for your records, or share it as needed.

Begin the process of completing your WC Exemption Form online to ensure timely processing and compliance.

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Note: In Order For Form W-8BEN-E To Be Complete, You Must Complete The Highlighted Fields And All Lis Deped POPIA Consent Form Notice Hearing Form

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A Certificate of Attestation of Exemption (CE-200) can only be used to attest to a government entity that an applicant requesting a license, permit or contract is not required to carry workers' compensation and/or disability and Paid Family Leave benefits coverage.

The Certificate of Attestation of Exemption (CE-200) is completed by entities with no employees and/or out-of-state entities obtaining a contract or license in which all the work is being performed outside of New York State. Using this online application, you can search for the CE-200.

You can also request an Exemption Certificate by calling the NYS Workers' Compensation Board at 866-298-7830. Please note, it can take up to 8 weeks to process this request. *A CE-200 is required for each Temporary Food Service Establishment permit application.

To obtain a certificate immediately, please use the on-line application at .wcb.state.ny.us. Once the application is completed on-line, you can immediately print the certificate on your printer. Please review the separate instructions (form CE-200 instructions) prior to completing this application.

New York State law does not limit the amount you may receive if you decide to settle your workers' compensation claim. The maximum settlement amount is whatever your representation and the insurance carrier's representation agree to set in your individual case.

The maximum weekly benefit is adjusted on July 1 of each year.... Date of AccidentWeekly Maximum Total / PartialJuly 1, 2022 - June 30, 2023$1,125.46 / $1,125.46July 1, 2021 - June 30, 2022$1,063.05 / $1,063.05July 1, 2020 - June 30, 2021$966.78 / $966.78July 1, 2019 - June 30, 2020$934.11 / $934.1116 more rows

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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
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