Worker compensation exemption registration 2025

1. Click ‘Get Form’ to open the worker compensation exemption registration application in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter your full legal name, date of birth, last four digits of your Social Security Number, phone number, and email address.
3. Provide your physical address and mailing address. Ensure that the physical address is where you conduct business, as a P.O. Box is not acceptable.
4. In the 'Initial Qualification' section, select one qualification that applies to you as an applicant engaged in the construction industry.
5. Complete the 'Initial Business Entity' section by entering your business entity name and SOS Control number. If applicable, provide your Federal EIN.
6. Fill out the licensing information based on whether you have an active contractor’s license or not. Include relevant details such as license number and expiration date.
7. Check the attestation boxes confirming that you meet all requirements for exemption and understand the implications of false statements.
8. Finally, sign and date the application before submitting it through your preferred method—either online or by mail.

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