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Affidavit of Exemption for Workers' Compensation Insurance (WC-134) - labor mo 2026

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  1. Click ‘Get Form’ to open the Affidavit of Exemption for Workers' Compensation Insurance (WC-134) in the editor.
  2. Begin by entering your name in the designated field for 'Name of Affiant'. Ensure that you are of legal age and sound mind, as this is a sworn statement.
  3. Fill in your business name under 'Name of Business'. This should reflect the exact name registered with relevant authorities.
  4. Select one of the options regarding your employment status: sole proprietor, partner, or corporation. Make sure to check the appropriate box that applies to your situation.
  5. If applicable, provide details about any Notice of Employer’s Exemption filed with the Missouri Division of Workers’ Compensation, including dates and acknowledgment letters.
  6. Review and confirm that you understand statutory employment concepts as outlined on pages 2-3. This ensures compliance with Missouri laws.
  7. Finally, sign and date the affidavit at the bottom. Ensure that a notary public witnesses your signature for it to be valid.

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Railroad, postal, and maritime workers are covered under federal laws and not by Missouri Workers Compensation Laws.
An employer who knowingly fails to insure its workers compensation liabilities is guilty of a class A misdemeanor and may be liable to the state of Missouri for a penalty of up to three times the annual premium or up to fifty thousand dollars, whichever amount is greater. A subsequent violation is a class E felony.
Any employer with five or more employees, and all employers in the construction industry, are required to provide protection for their employees under the Missouri Workers Compensation Law. Most employers do this by purchasing workers compensation insurance.

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People also ask

Railroad, postal, and maritime workers are covered under federal laws and not by Missouri Workers Compensation Laws.
If you hire a 1099 contractor you need to ensure that they have a Certificate of Workers Compensation and furnish it to your carrier.
An employer who knowingly fails to insure its workers compensation liabilities is guilty of a class A misdemeanor and may be liable to the state of Missouri for a penalty of up to three times the annual premium or up to fifty thousand dollars, whichever amount is greater. A subsequent violation is a class E felony.
In the state of Missouri you are required to carry workers compensation insurance if you have five or more employees, unless you are in the construction industry, then you must carry workers compensation insurance if you have one or more employees.
A: In ance with Missouri law, an employee may request an exception from the provisions of the workers compensation law in respect to certain employees who are members of a recognized religious sect or division, as defined in 26 U.S.C.

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Affidavit of Exemption for Workers Compensation Insurance

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