This is one of the official Workers' Compensation forms for the state of Massachusetts.
Massachusetts Workers Compensation Insurance Affidavit General Business
State:
Massachusetts
Control #:
MA-140-WC
Format:
PDF
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How to fill out Massachusetts Workers Compensation Insurance Affidavit General Business?
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Find out who needs to be covered by workers' compensation insurance in Massachusetts, as well as the definition of an employee, subcontractor, and independent contractor. All employees in Massachusetts must be covered under a workers' compensation policy.
How To Notify Your Employer of Work Injury Step-By-StepBasic Information.Explain How You Were Injured On The Job.Talk About Your Injury.Clarify That You Had No Pre-Existing Injuries.Include Medical Information From Your Doctor.Request a List of Approved Doctors.Remind Your Employer To Take the Next Steps.
Workers compensation insurance pays for medical bills, lost wages and other costs if an employee is sick or injured due to their job. General liability insurance, on the other hand, protects your business when there are claims against you for bodily injury, property damage and advertising injury.
As a sole proprietor you are not required to get workers' compensation insurance coverage. If you have employees, they must be covered. If you are a corporate officer that owns 25% or more of a company, you can file for an exemption so you will not be covered under a policy.
However, if you hire independent contractors, you won't have to provide them with workers' comp coverage if you can meet three tests: Prove that they do not work under your direct control or supervision. Establish that they perform work that is outside the normal course of your business.
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I will ensure that all contractors either have workers' compensation insurance or are sole proprietors with no employees. 5. Workers' Compensation Insurance Affidavit: General Businesses.Workers' Compensation Insurance Affidavit - General Business (PDF). This form needs to be submitted with all permit applications. Applicant Information. Include certificates of insurance for liability and workers compensation. 1 Congress Street, Suite 100.