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  • Family On Five Or Fewer Exempt Statement

Get Family On Five Or Fewer Exempt Statement

2015 Oklahoma State Fair FAMILY OF FIVE OR FEWER EXEMPT STATEMENT We, the undersigned, do hereby certify that we are operating under the family of five or fewer act and voluntarily are excluding ourselves.

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How to use or fill out the Family On Five Or Fewer Exempt Statement online

The Family On Five Or Fewer Exempt Statement is an important document for small businesses operating under specific conditions in Oklahoma. This guide will help you navigate the process of filling out this form online, ensuring you provide all necessary information accurately.

Follow the steps to complete your Family On Five Or Fewer Exempt Statement online.

  1. Press the ‘Get Form’ button to download the Family On Five Or Fewer Exempt Statement and open it in your preferred editor.
  2. In the first section, you will need to provide names of all individuals included in the exempt statement. Start by entering your name as the first person, identified as 'SELF'.
  3. Proceed to fill in the 'Relation' field, stating your relationship to the other individuals listed.
  4. Continue filling in the names of the remaining individuals (up to five total), ensuring you provide their full names and their respective relations to you.
  5. You must include the Social Security Numbers for all individuals listed, as this is a mandatory requirement for the form to be valid.
  6. Confirm that all individuals are related by blood or marriage and that there are no other employees, contract labor, or sub-contractors working for your company.
  7. At the bottom of the form, include the Contracted Company Name. Make sure that this matches the name on the contract.
  8. Have the owner or authorized agent of the company sign the form. They should also print their name and title, along with the date of signing.
  9. Once all fields are completed accurately, save the changes in your document. You can then download, print, or share the completed form as needed.

Complete your Family On Five Or Fewer Exempt Statement online today to ensure compliance and maintain your business operations.

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Every employer, with a few exceptions, is required by law to carry workers' compensation insurance, or "secure compensation" for its employees, as defined by law.

The form is listed under Affidavit of Exempt Status on the Case OK website. The cost for an Affidavit of Exempt Status is $50.00 plus a $1.00 online processing fee. Please note the Workers' Compensation Commission will not accept checks for the Affidavit of Exempt Status Fee.

Under Oklahoma law, an employer may not discharge an employee because the employee has in good faith filed a worker's compensation claim, retained a lawyer for representation regarding a claim, instituted any proceeding under the Workers' Compensation Code, or testified or is about to testify in any such proceeding.

The law states that nearly every employer is required to carry workers' compensation coverage. In some circumstances, certain employees in Oklahoma may be exempt from workers' comp coverage, such as: Sole proprietors. Members of a limited liability company (LLC) who own at least 10% of the capital.

The average cost of workers' compensation in Oklahoma is $64 per month. Your workers' comp premium is calculated based on a few factors, including: Payroll.

Under Oklahoma law, an employer may not discharge an employee because the employee has in good faith filed a worker's compensation claim, retained a lawyer for representation regarding a claim, instituted any proceeding under the Workers' Compensation Code, or testified or is about to testify in any such proceeding.

In most cases, your weekly benefits are 70 percent of your average weekly wage, which is determined by dividing your gross earnings by the full number of weeks with the employer, up a maximum of 52-weeks prior to your work-accident.

You are not subject to claiming workers comp on taxes because you need not pay tax on income from a workers compensation act or statute for an occupational injury or sickness. However, retirement plan benefits are taxable if either of these apply: You retire due to your occupational sickness or injury.

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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