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Click ‘Get Form’ to open the affidavit of exempt status in the editor.
Begin by filling in your name and the county where you are submitting the affidavit. This establishes your identity and jurisdiction.
In the section where it states 'I, _______', write your full name as the independent contractor.
Next, provide the business name under which you operate, followed by the contractor's name and the calendar year for which this affidavit applies.
Carefully read through each statement regarding your status as an independent contractor. Ensure that you understand and agree with these statements before signing.
Sign and date the form at the designated areas. Make sure to have a notary public witness your signature to validate the document.
Finally, submit the signed form to your general contractor as instructed at the bottom of the document.
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Affidavit of Exempt Status under the Workers Compensation Act OklahomaAffidavit of Exempt Status CC Form 36AWorkers Comp Exemption Form PDF OklahomaWorkers comp Affidavit OklahomaCC Form 36A OklahomaOklahoma Workers Compensation CommissionExempt status fact sheetUf 67 affidavit ic
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