Workers compensation exemption form michigan 2011-2026

1. Click ‘Get Form’ to open the workers compensation exemption form in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter your first name, middle initial, last name, date of birth, last four digits of your SSN, phone number, email address, and physical address.
3. In the 'Qualification' section, check the appropriate box that describes your status in relation to the construction industry.
4. Provide your business entity name and SOS control number in the 'Business Entity' section. If applicable, include your Federal EIN.
5. Indicate whether you have an active license issued by the State Board for Licensing Contractors by checking the corresponding box and providing details if necessary.
6. Complete any local business license information as required.
7. In the 'Attestation' section, check both boxes to confirm your understanding of the requirements and implications of this exemption. Finally, sign and date the application.

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