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 first name, last name, middle initial, date of birth, phone number, last four digits of your SSN, and email address. Ensure all details are accurate for processing.
3. Provide your physical address along with the city, state, and zip code. If different from your physical address, complete the mailing address section as well.
4. In the 'INITIAL QUALIFICATION' section, check the appropriate box that describes your status in relation to the construction industry.
5. Fill in your business entity information including the business name and SOS control number. Attach any required documents such as the IRS 147(c) letter.
6. Complete the licensing information by checking whether you have a license issued by the State Board for Licensing Contractors and provide details if applicable.
7. Lastly, review and check both attestation boxes to confirm your understanding of requirements and implications before signing and dating the application.

Start using our platform today to easily complete your worker compensation exemption registration for free!