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How to use or fill out form 153 with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the 'Invest./SWO ID #' field at the top of the form, if applicable.
- In the section labeled 'Name of Corporation and Address', enter the full name and address of your corporation.
- Each eligible corporate officer must sign their name in the designated signature lines, indicating their choice to exercise their right of exemption or not by checking the appropriate box below their signature.
- Ensure that all signatures are completed, as a maximum of four signatures is allowed. Each signer should also print their name and title next to their signature.
- Finally, include the date for each signature in the format mm/dd/yyyy before submitting the completed form to the Department of Industrial Accidents.
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