Get Affidavit Of Self Employment Exemption Under The Workers

This guide provides a clear and concise overview of how to complete the Affidavit of Self Employment Exemption Under the Workers Compensation Act online. Following these steps will help ensure that your affidavit is accurately filled out and submitted without any issues.

Follow the steps to successfully complete your affidavit online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your printed name in the designated space at the top of the form. Ensure that your name is clearly written as it appears on any legal documents.
3. In the second point, indicate your awareness of the requirement to comply with the Workers Compensation Act as a condition for licensure.
4. Affirm your self-employment status in the third section. Clearly state that you are not considered an employer under A.R.S. § 23-902.
5. In the fourth point, confirm that you do not and will not employ individuals on a regular basis in your business or trade.
6. For the fifth point, explicitly indicate that you will not employ workers at any time within the year regarding your business.
7. In the sixth section, clarify that you do not procure work from an independent contractor whom you supervise or control.
8. In the seventh point, acknowledge that while you may utilize services from independent contractors, you must have a written agreement that complies with A.R.S. § 23-902(D).

Encourage users to complete their affidavit online for a smoother filing experience.