Get Md C-15r 2019-2025

The MD C-15R form is essential for sole proprietors and partners in Maryland who wish to elect coverage under the Workers’ Compensation Act. This guide provides a clear, step-by-step approach to accurately completing the online version of the form, ensuring all users can navigate the process effectively.

Follow the steps to complete your MD C-15R form online.

1. Press the ‘Get Form’ button to access the MD C-15R form and open it in your preferred digital editor.
2. Enter the date insurance company was notified in the designated field.
3. Fill in the current date in the appropriate section.
4. Provide the name of the insurance company in the respective box.
5. Clearly write your company name in the field provided.
6. Input your business address, ensuring to include all elements like street address, city, state, and zip code.
7. Enter the name and title of the person who is electing coverage in the respective fields.
8. Include the personal signature of the person electing coverage in the designated area.
9. If needed, click on the button provided to clear the form before submitting.
10. Once all sections are accurately filled out, save your changes, and prepare to download, print, or share the completed form with the appropriate parties.

Complete your MD C-15R form online today for effective workers' compensation coverage.