Get Sole Proprietor Affirmative Election Form

This guide provides clear and user-friendly instructions on filling out the Sole Proprietor Affirmative Election Form online. By following these steps, you can ensure that your information is accurately submitted and compliant with New Mexico Workers' Compensation regulations.

Follow the steps to complete the Sole Proprietor Affirmative Election Form online.

1. Press the ‘Get Form’ button to obtain the Sole Proprietor Affirmative Election Form and open it in your preferred editor.
2. In the first field, type your full name as the sole proprietor.
3. In the next field, enter the name(s) of your business(es). If you have multiple businesses, you may attach a separate sheet.
4. Fill in the physical address where your business is located.
5. Review the section affirming your election not to accept the provisions of the Workers’ Compensation Act. Ensure that you understand the qualifications outlined.
6. Sign the form in the designated area and include your title, FEIN number, and CRS number.
7. Provide your mailing address in the given field.
8. If applicable, enter your workers' compensation policy number and policy period.
9. Include your unemployment insurance number if it applies to you.
10. Complete the notary section at the bottom, including the date and signature of the notary public.
11. Before submitting, review all entries for accuracy and completeness. Save any changes.
12. Download, print, or share the form as needed for your records. Ensure to return the completed and notarized form to your insurance carrier.

Start filling out your Sole Proprietor Affirmative Election Form online today.