Get Exception To Application Of Joint Agreement For Certain Building And Construction Workers

This guide provides a clear and structured approach to completing the Exception To Application Of Joint Agreement For Certain Building And Construction Workers form. Whether you are a hiring contractor or an independent contractor, this step-by-step instruction will assist you in accurately filling out the form online.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to obtain the form and access it in your online document editor.
2. Enter the date of the Joint Agreement to Affirm Independent Relationship for Certain Building and Construction Workers.
3. Fill in the date of the subsequent hiring agreement to which this form is applicable.
4. Provide the location of specific job sites that are not affected by the Joint Agreement.
5. Input the name of the Hiring Contractor.
6. Input the name of the Independent Contractor.
7. If the Hiring Contractor’s workers’ compensation carrier changes, ensure to note this and prepare to submit the form to the new insurance carrier.
8. Obtain the signature of the Hiring Contractor and add the date.
9. Print the name of the Hiring Contractor and include their Federal Tax I.D. number.
10. Fill out the address fields for both the Hiring Contractor and Independent Contractor, including street, city, state, and zip.
11. Obtain the signature of the Independent Contractor and add the date.
12. Print the name of the Independent Contractor and include their Federal Tax I.D. number.
13. Lastly, retain the original signed form and submit a legible copy to the hiring contractor’s workers’ compensation insurance carrier and the division within 10 days.

Complete your documents online today for a smooth and efficient process.