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  • Affidavit Of Exempt Status - South Dakota Department Of Labor ...

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STATE OF SOUTH DAKOTA) ) SS COUNTY OF )AFFIDAVIT OF EXEMPT STATUSI state under oath as follows: 1. I, , operating as , (Independent Contractor) (Independent Contractors Business Name) have agreed.

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How to fill out the Affidavit Of Exempt Status - South Dakota Department Of Labor online

Filling out the Affidavit Of Exempt Status is an important step for independent contractors seeking exemption from workers' compensation insurance in South Dakota. This guide will provide you with step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete your affidavit with confidence.

  1. Click the ‘Get Form’ button to obtain the Affidavit Of Exempt Status and open it in your preferred online editor.
  2. In the first section, enter your full name as the independent contractor and your business name. This identifies you and your business for the contractor.
  3. Specify the name of the general contractor for whom you will be providing services and indicate the calendar year for which you are completing this affidavit.
  4. Read and understand the Exempt Status Fact Sheet, then confirm that you fit the definition of an independent contractor. You will need to affirm your understanding of the implications by checking the appropriate acknowledgment.
  5. In the subsequent sections, affirm that you are not an employee under the Workers’ Compensation Act. You will need to confirm you do not want workers' compensation insurance.
  6. Sign the affidavit in the designated space for the independent contractor and add the date of signing. Make sure the signature correlates with the name entered at the beginning.
  7. The general contractor will also need to sign the affidavit and provide their name and title. Ensure all parties have completed their respective sections.
  8. Identify the notary public who will witness the signing. After reviewing all information is correct, submit the signed affidavit to the notary public to be officially notarized.
  9. Once notarized, take a final look at the completed document and decide whether to save changes, download, print, or share the form as necessary.

Complete your Affidavit Of Exempt Status online today and ensure you meet your legal obligations.

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North Dakota's Workers' Compensation law, with limited exceptions, requires all employers to insure all employees including full-time, part-time, seasonal, and occasional workers before employees begin working. It is unlawful to deduct any portion of the premium from wages or salary of any employee.

A workers' compensation claim must be filed within two years from the date the employer/insurer notifies the employee and the South Dakota Department of Labor, in writing, of the denial of a claim, in whole or in part.

North Dakota employers with any employee(s) are required by law to purchase workers' compensation insurance. This includes seasonal, occasional, part-time, and full-time employees. Sole-Proprietors and Partners are automatically excluded from workers' compensation coverage, but they can elect to be covered on a policy.

There is no law in South Dakota requiring any employer to carry workers' compensation insurance. However, it is highly recommended. An uninsured employer may be sued in civil court by an injured worker.

Estimated employer rates for workers' compensation in South Dakota are $1.03 per $100 in covered payroll. Your cost is based on a number of factors, including: Payroll.

Aside from the obvious need to seek medical treatment for the injury, state law requires you to give written notice of an injury to your employer within three business days.

Mileage Rate effective Sept. 12, 2022 (only for travel to and from treatment): $0.51/mile.

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© 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