Get Printable Workers' Comp Waiver

Completing the Printable Workers' Comp Waiver is essential for employees wishing to waive their rights to workers' compensation benefits during employer-sponsored recreational activities or fitness programs. This guide provides clear, step-by-step instructions for filling out the form in an online format.

Follow the steps to successfully complete the waiver form.

1. Click ‘Get Form’ button to access the waiver form and open it in your preferred editor.
2. In the first section, clearly print or type your name as the employee in the designated space labeled 'Employee name (please print or type)'.
3. Next, enter the date you are completing the form in the provided date field.
4. Fill in the employer's name in the space labeled 'Employer name'. This identifies the organization sponsoring the activities.
5. Provide the risk number associated with your employer in the designated field. This number helps track workers' compensation insurance details.
6. List all employer-sponsored recreational activities and fitness programs for which you are waiving workers' compensation coverage in the specified section. If there are any blank spaces remaining, be sure to cross them out to avoid confusion.
7. Read the waiver statement carefully. By signing, you declare your voluntary participation in the listed activities and understand that you are waiving rights to workers' compensation benefits for injuries sustained while participating.
8. Sign and date the form in the spaces labeled 'Employee signature' and 'Date signed' to complete the waiver.
9. Once you have thoroughly filled out the form, review it for completeness. Save changes, then download or print the document for your records.
10. Finally, share the completed waiver with your employer for their files, ensuring they retain the original and provide you with a copy.

Complete your Printable Workers' Comp Waiver online today for seamless participation in recreational activities!