Get OK UF-67 2006-2024
Urce Oklahoma at 405-232-7663 ext. 5102. Note: Employers who knowingly and willfully require an employee or subcontractor to execute an affidavit when the employer knows that the employee or subcontractor is required to be covered under a workers compensation insurance policy shall be liable for a civil penalty of up to $1,000.00 per offense. (36 OS 924.5) It is a crime to falsify the information on this form. UF-67 Affidavit IC (Ed. 7-2006) Version 3 1 EXEMPT STATUS FACT SHEET An inde.
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