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The following ownership types must complete this form if they wish to opt out of the. Once notarized, this BP-1 form serves as an exemption for both workers' compensation and disability benefits insurance coverage.I am an independent contractor, not an employee of the contractor, and I do not want workers' compensation insurance. 5. I have not filed a notice to withdraw the exemption for my corporation with the Missouri Division of. Workers' Compensation. 4. Their right of exemption per c. 152, §1(4), and we have no employees. Workers' Compensation Act. Affidavit. 152, §1(4), and we have no employees. You must either obtain workers' compensation coverage for yourself or complete a form indicating you wish to reject that coverage.