Get It Is A Crime To Falsify The Information On This Form. Affidavit Of ... - Uco

Filling out the Affidavit of Exempt Status Under the Workers’ Compensation Act is an important step for those seeking to declare their independent contractor status. This guide provides a clear, step-by-step process to complete the form accurately and understand its components.

Follow the steps to successfully complete your affidavit.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the first section, fill in the state and county where you are submitting the form. This is critical for jurisdiction purposes.
3. State your name in the designated line where it prompts you to declare your identity under oath.
4. Provide detailed responses for items 1 through 9, ensuring that the information you furnish is precise and truthful.
5. Identify the name of your business as an independent contractor in the provided field, ensuring that it matches what is used in your business operations.
6. Specify the contractor with whom you will be working during the specified calendar year.
7. Affirm your understanding of the Exempt Status Fact Sheet and confirm it has been read and signed by attaching it to the affidavit.
8. Sign and date the document in the designated areas, ensuring that your signature is clear and legible.
9. If applicable, obtain a notary public signature to validate the affidavit, ensuring you include the date and commission details.
10. Review your completed form carefully to ensure all information is accurate and complete before finalizing it.
11. Finally, you can save changes, download, print, or share the completed form as needed.

Start filling out your affidavit online to secure your independent contractor status today.