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  • Md C-15r 2015

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Wcc.state. md. us INCLUSION FORM SOLE PROPRIETORS/ PARTNERS ELECTION FORM Pursuant to the provisions of 9-219 and 9-227 of the Labor and Employment Article Annotated Code of Maryland sole proprietors and partners are excluded from coverage under the Workers Compensation Act of Maryland. WORKERS COMPENSATION COMMISSION 10 East Baltimore Street Baltimore Maryland 21202-1641 Date Stamp WCC Use Only TEL 410 864-5100 or 1 800 492-0479 TTD MD Relay Service 1 800 735-2258 http //www. Such persons may elect to become covered employees under the Workers Compensation Act of Maryland. To exercise this option any sole proprietor or partner wishing to be a covered employee must complete and sign this document. IMPORTANT Submit original form to the Workers Compensation Commission a copy to the insurer and keep a copy for your files. Unless otherwise agreed upon this election will be effective upon the date of receipt by the Workers Compensation Commission* CURRENT DATE DATE INSURANCE COMPANY WAS NO....

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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