Loading
Form preview picture

Get AR RCL317A 2014

STATE OF COUNTY OF ss AFFIDAVIT OF SELF EMPLOYMENT EXEMPTION UNDER THE WORKERS COMPENSATION ACT I Printed Name being first duly sworn upon oath deposes and states the following I am applying for a contractor s license for my company through the State of Arizona s Registrar of Contractors office. I am aware that as a condition of licensure that my company must comply with the Workers Compensation Act. I am self-employed* Therefore I am not an employer subject to the provisions of A. R*S* 23-902. I do not currently and will not in the future employ workers regularly employed in my business or trade under a contract for hire. as an employer. supervision or control that is done in the regular course of my business or trade. I may in my business use the services of an independent contractor to perform work done in the regular course of my business or trade. In the event that I use the services of an independent contractor such use shall be evidenced by a written agreement that the business does not have the authority to supervise or control the actual work of the independent contractor and/or his/her employees. The written agreement will contain a disclosure statement that the A. R*S* 23-902 D. When independent contracting services other than professional services are retained any license see A. R*S* 32-1154 A 10. A. R*S* 23-902 that it will immediately comply with all provisions of the Workers Compensation Act. I am aware that if I and/or my company becomes an employer as previously stated and I/it fails to comply with the Workers Compensation provisions that this is an immediate cause for discipline of the license. 10. I have authority on behalf of my company as its owner partner member manager managing member officer or director to sign this affidavit. Printed Name Signature Applicant Company Name Subscribed and Sworn to before me this day of 20 NOTARY PUBLIC Printed Name RC L 317A 6/14 My Commission Expires. I am aware that as a condition of licensure that my company must comply with the Workers Compensation Act. I am self-employed* Therefore I am not an employer subject to the provisions of A. R*S* 23-902. I do not currently and will not in the future employ workers regularly employed in my business or trade under a contract for hire. I am self-employed* Therefore I am not an employer subject to the provisions of A. R*S* 23-902. I do not currently and will not in the future employ workers regularly employed in my business or trade under a contract for hire. as an employer. supervision or control that is done in the regular course of my business or trade. I may in my business use the services of an independent contractor to perform work done in the regular course of my business or trade. as an employer. supervision or control that is done in the regular course of my business or trade. I may in my business use the services of an independent contractor to perform work done in the regular course of my business or trade. In the event that I use the services of an independent contractor such use shall be evidenced by a written agreement that the business does not have the authority to supervise or control the actual work of the independent contractor and/or his/her employees.

How It Works

Form rating
4.8Satisfied
71 votes

Tips on how to fill out, edit and sign AR RCL317A online

How to fill out and sign AR RCL317A online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Are you still searching for a fast and convenient solution to fill out AR RCL317A at a reasonable price? Our service offers you a wide variety of forms available for filling out on the internet. It only takes a couple of minutes.

Keep to these simple guidelines to get AR RCL317A prepared for submitting:

  1. Get the document you want in the collection of legal templates.
  2. Open the template in our online editor.
  3. Look through the instructions to learn which information you need to include.
  4. Choose the fillable fields and include the required information.
  5. Put the date and place your electronic autograph once you fill out all other fields.
  6. Look at the document for misprints and other errors. In case you necessity to correct some information, our online editor along with its wide range of instruments are ready for your use.
  7. Download the filled out template to your gadget by clicking Done.
  8. Send the e-document to the intended recipient.

Filling in AR RCL317A does not need to be confusing any longer. From now on comfortably get through it from your apartment or at your business office straight from your smartphone or desktop computer.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to AR RCL317A

If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.