Get Mn Cc0515 2012-2025

The MN CC0515 form is essential for business license applicants in Minnesota to demonstrate compliance with workers' compensation insurance requirements. This guide offers a clear step-by-step approach to assist you in successfully completing the form online.

Follow the steps to complete the MN CC0515 form.

1. Click ‘Get Form’ button to obtain the form and open it for filling.
2. Begin by providing your business name. If applicable, list the legal name or the owner's name(s). Ensure this is accurate as it will be used for licensing purposes.
3. Enter the business address. Make sure you provide a physical street address; do not use a P.O. Box.
4. Fill in the city, county, state, and ZIP code associated with your business address.
5. Provide your primary business telephone number and an alternate telephone number, if available.
6. Include your email address for communication purposes regarding your business license.
7. Choose between option 1 or option 2 regarding your workers' compensation insurance status. If you have a policy, provide the insurance company name, policy number, effective date, and expiration date. If you are self-insured, attach relevant documentation.
8. If you are not required to have workers’ compensation insurance, indicate the reason and provide necessary explanations as outlined in the form.
9. Review the certifications section. You must print your name, sign the form, and provide your title and the date of signing.
10. Once you have completed all sections and verified the information is accurate, save your changes, and you can download, print, or share the completed form as needed.

Complete the MN CC0515 online today to ensure your business is compliant with workers' compensation insurance laws.