Get Nc Affidavit Of Workers Compensation Exemption - Wake County 2011-2025

The NC Affidavit Of Workers Compensation Exemption is a crucial form for contractors seeking a building permit in Wake County. This guide provides a clear and structured approach to filling out the affidavit online, ensuring that users can complete the form accurately and efficiently.

Follow the steps to fill out the NC Affidavit Of Workers Compensation Exemption online

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Fill in the 'Building Permit Number' field at the top of the form, ensuring accuracy as this identifies your specific permit.
3. Indicate whether you are an 'Unlicensed Contractor' or a 'Licensed Contractor' by checking the appropriate box.
4. If you are a licensed contractor, provide your 'License Number' in the designated field.
5. In the section that states 'do hereby aver under penalties of perjury,' confirm the number of employees by verifying that the person(s), firm(s), or corporation(s) performing the work have no more than two employees.
6. The form must be signed by a designated person: the owner of the proprietorship, a partner in the partnership, an officer of the corporation, or the manager of the LLC appearing as the contractor on the building permit.
7. Complete the fields for 'Firm Name' and 'Completed By,' including the title of the individual completing the form.
8. Provide a signature in the designated area and fill in the date of signature.
9. Arrange for the document to be witnessed by a Permit Staff member or notarized if required.
10. Once all fields are complete, you can save changes, download the completed form, print it, or share it as necessary.

Start completing the NC Affidavit Of Workers Compensation Exemption online today!