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Exemption from Workers' Compensation *WC ... - CA Construction 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In SECTION 1, enter your full business name as it appears on your license. Fill in the CSLB License or Application Fee Number, and provide your business mailing address, including city, state, and ZIP code.
  3. Next, complete the business street address section with the physical location of your business. Include the city, state, and ZIP code.
  4. Provide your business phone number, fax number (if applicable), and email address. If this is a new address, check the designated box.
  5. In SECTION 2, select only one of the checkboxes to indicate whether you do not employ anyone subject to California's workers' compensation laws or if you are an out-of-state contractor.
  6. Finally, in SECTION 3, sign and date the form. Ensure that you print your name clearly beneath your signature.

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After a workplace injury, you are entitled to workers compensation benefits regardless of who was at fault. However, if you filed a claim but need to cancel it for some reason, you have the right to do so.
To be exempt from workers compensation, you must submit an affidavit, docHubing that you do not employ anyone in a manner that is subject to the workers compensation laws of California. (See Business and Professions Code Section 7125.)
Under these special circumstances, an injured worker may file a civil lawsuit against the employer. These exceptions include Dual Capacity, Fraudulent Concealment, Employer Assault or Ratification, Power Press, and Uninsured Employer.

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People also ask

Another term of being able to opt out of workers compensation benefits is that a manager must sign off on the waiver. A general partner of a partnership is also allowed to sign the waiver for someone wanting to opt-out of benefits under the new law.
Californias workers compensation laws generally provide that workers compensation is the exclusive remedy against an employer for an employees injury or death that arises during the course and scope of employment.
As a result, California employers are required by law to have workers compensation insurance, even if they have only one employee. And, if your employees get hurt or sick because of work, you are required to pay for workers compensation benefits.
Independent contractors are not eligible for workers compensation coverage; employers are not required by state law to purchase coverage for independent contractors. Some employers misclassify employees as independent contractor to avoid paying payroll taxes and workers compensation premiums for them.
If your business is a sole proprietorship, youas the ownerare automatically excluded from workers comp. Also, since the State of California labor code considers spouses to be co-owners, you can exclude your spouse (again, if you are a sole proprietor).

california workers compensation exemption form

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