We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • Labor Forms
  • Kansas Labor Forms
  • Ks Affidavit Of Exempt Status Under The Workers' Compensation Act

Get Ks Affidavit Of Exempt Status Under The Workers' Compensation Act

Ect for this contractor and is good for the job/project or any similar job/project performed for the contractor for one year from the date of notary. Note: It is a crime to falsify the information on this form. EXEMPT STATUS FACT SHEET An independent contractor is defined by law as one who engages to perform certain services for another, according to his own manner, method, free from control and direction of his contractor in all matters connected with the performance of the service, except .

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the KS Affidavit of Exempt Status Under the Workers' Compensation Act online

This guide provides a clear and comprehensive overview of how to complete the KS Affidavit of Exempt Status Under the Workers' Compensation Act online. By following these steps, you can ensure that your affidavit is accurately filled out and submitted.

Follow the steps to complete the affidavit effectively.

  1. Press the 'Get Form' button to access the form and open it in your preferred online editing tool.
  2. In the first section, provide your name and the name of your independent contractor’s business. Fill in the contractor's name and the calendar year for which the services will be provided.
  3. Read and understand the Exempt Status Fact Sheet. Confirm your independent contractor status by agreeing that you control your work methods and are not under the contractor's direction, except for the final product.
  4. Indicate that you are not requesting workers' compensation insurance and understand that you will not be eligible for benefits.
  5. Acknowledge your responsibility, if applicable, to obtain workers’ compensation and employers’ liability insurance for any employees or to cover the earned premiums directly.
  6. Confirm that you are signing the affidavit voluntarily and that your representations are truthful and not a result of coercion.
  7. Understand the legal implications, including that providing false information may lead to a misdemeanor charge.
  8. Sign and date the affidavit as the independent contractor, providing your name, title, business name, and signature.
  9. Request the contractor to sign and date the affidavit, including their name, title, business name, and signature.
  10. Lastly, find a notary public to witness your signatures, completing the notarization process. Ensure the notary's details and commission information are filled in.
  11. Once all sections are completed, review your entries, save your changes, and prepare to download, print, or share the completed affidavit as needed.

Start completing the KS Affidavit of Exempt Status Under the Workers' Compensation Act online today to ensure compliance and secure your status.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Affidavit of Exempt Status Under the Workers ...
I agree to obtain workers compensation and employers' liability insurance for my...
Learn more
Kan. Admin. Regs. § 40-3-60 - Workers...
Each company that underwrites workers compensation insurance in Kansas shall accept each...
Learn more
Manufacturer reference manual
Dec 31, 2020 — Vendors must only employ workers with a legal right to work. Vendors are...
Learn more

Related links form

Akron Children's Hospital Akron Cooperative Medical Laboratory Science Program 2018 Akron Children's Hospital Doggie Brigade Volunteer Application Packet Health Net Federal Services Tricare Non-Network Birthing Center Application 2019 Summa Health Form 90130200 2020

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

A. Sole Proprietorships or Partnerships 1. Sole proprietors and Partners are not considered employees and are automatically excluded from workers' compensation coverage by law; they do not have to file for an exemption.

Anyway, the answer is simply: family members cannot be excluded from workers comp, unless, like above, they are a titled officer/shareholder if a corporation, a member if an LLC, and a partner if a partnership.

The purpose of filing an exemption is for an officer of a corporation or member of a limited liability company to exclude themselves from the workers' compensation laws. Upon issuance of a Certificate of Election to be Exempt, the officer or member is not an employee and may not recover workers' compensation benefits.

Most states require businesses with employees to carry workers' compensation insurance. But you may be able to apply for an exemption for certain types of workers, like independent contractors. This means you don't need to provide workers' comp to cover that employee if they get hurt or sick from their job.

Sole proprietors and partners are generally exempt from having to include themselves in their business workers' comp coverage, according to workers' comp acts. On the other hand, executive officers of a corporation are automatically included under most acts.

Certain types of workers and jobs are not covered by workers' compensation. The main categories of workers that are not covered by traditional workers' compensation are: business owners, volunteers, independent contractors, federal employees, railroad employees, and longshoremen.

Most states require businesses with employees to carry workers' compensation insurance. But you may be able to apply for an exemption for certain types of workers, like independent contractors. This means you don't need to provide workers' comp to cover that employee if they get hurt or sick from their job.

As a self-employed business owner, you need to have a policy in place before hiring that first non-owner employee. Workers' comp insurance pays the medical and rehabilitation bills for workers who are injured on the job. The insurance may also pay some missed wages if an employee cannot work due to the injury.

Sole proprietors, partners, and LLC members are excluded from coverage, but can choose to cover themselves. Exceptions include farm workers, domestic servants in a home with fewer than two full-time employees, and employees protected by federal laws (railroad and maritime workers).

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get KS Affidavit of Exempt Status Under the Workers' Compensation Act
Get form
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
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