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Pennsylvania Employees Affidavit And Waiver of Workers Compensation Benefits And Statement of Religious Sect

State:
Pennsylvania
Control #:
PA-SKU-4617
Format:
PDF
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Description

Employees Affidavit And Waiver of Workers Compensation Benefits And Statement of Religious Sect The Pennsylvania Employees Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect is a document used to declare that an employee is exempt from Pennsylvania’s Workers’ Compensation Act. This document is required for all employees of a Pennsylvania employer, who are members of a recognized religious sect or division, whose members are conscientiously opposed to insurance in any form, including the acceptance of benefits under the Pennsylvania Workers' Compensation Act. There are three types of Pennsylvania Employees Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect: 1. The Pennsylvania Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division that are conscientiously opposed to accepting benefits under the Pennsylvania Workers' Compensation Act. 2. The Pennsylvania Waiver of Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division who are willing to accept benefits under the Pennsylvania Workers' Compensation Act but who prefer not to waive their right to sue for damages. 3. The Pennsylvania Affidavit and Waiver of Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division who are willing to waive their right to sue for damages and accept benefits under the Pennsylvania Workers' Compensation Act.

The Pennsylvania Employees Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect is a document used to declare that an employee is exempt from Pennsylvania’s Workers’ Compensation Act. This document is required for all employees of a Pennsylvania employer, who are members of a recognized religious sect or division, whose members are conscientiously opposed to insurance in any form, including the acceptance of benefits under the Pennsylvania Workers' Compensation Act. There are three types of Pennsylvania Employees Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect: 1. The Pennsylvania Affidavit and Waiver of Workers Compensation Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division that are conscientiously opposed to accepting benefits under the Pennsylvania Workers' Compensation Act. 2. The Pennsylvania Waiver of Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division who are willing to accept benefits under the Pennsylvania Workers' Compensation Act but who prefer not to waive their right to sue for damages. 3. The Pennsylvania Affidavit and Waiver of Benefits and Statement of Religious Sect: This form is used by members of a recognized religious sect or division who are willing to waive their right to sue for damages and accept benefits under the Pennsylvania Workers' Compensation Act.

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Pennsylvania Employees Affidavit And Waiver of Workers Compensation Benefits And Statement of Religious Sect