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Get Notice Of Revocation Of Election To Be Exempt Form
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How to fill out the Notice Of Revocation Of Election To Be Exempt Form online
Filling out the Notice Of Revocation Of Election To Be Exempt Form online can seem daunting, but with clear instructions, it becomes a manageable task. This guide will walk you through the process step-by-step, ensuring that you understand each section of the form.
Follow the steps to complete the form effectively.
- Click the ‘Get Form’ button to access the Notice Of Revocation Of Election To Be Exempt Form and open it in your browser.
- Begin by filling in the control number, postmark date, and received date in the designated fields at the top of the form.
- In the exemption type section, indicate whether you are in the construction industry or non-construction industry by checking the appropriate box. For corporate officers, fill in your corporate title.
- Next, provide the name of the corporation or LLC, along with the business mailing address, county, city, phone number, state, FEIN, zip code, and corporate registration number.
- Detail the scope of business or trade by listing relevant activities in the designated fields.
- Identify the workers’ compensation insurance carrier that covers non-exempt employees of your business by entering the carrier's name clearly.
- Include your printed name as the exemption holder and provide your signature, followed by the date you signed the form.
- Once you have completed all sections, you have options to save your changes, download the form, print it, or share it as needed.
Take the next step in your process by completing the Notice Of Revocation Of Election To Be Exempt Form online.
Upon receiving the Certificate of Election to be Exempt, the officer or business owner is no longer considered an employee and may not recover workers' compensation benefits even if they are injured while at work. Workers' compensation exemptions must be renewed each year. The exemption takes 30 days to be effective.
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