Sfn 53065 2026

1. Click ‘Get Form’ to open the sfn 53065 in the editor.
2. Begin by entering the name of your organization and its address, including city, state, and zip code. Ensure all contact information is accurate for effective communication.
3. Fill in the account number and provide the email, phone, and fax details for your organization. This information is crucial for correspondence with Workforce Safety & Insurance (WSI).
4. Designate an authorized agent by entering their name and address if it differs from the organization's address. This person will be responsible for managing communications regarding coverage.
5. Specify the type of activities your organization engages in and indicate whether you have paid employees. If yes, note that separate coverage is required.
6. Estimate the number of volunteers expected to work on projects and their average hours per week. Clarify if all volunteers will participate in similar activities.
7. List known volunteers who will be working on the project along with their Social Security Numbers. You can add additional pages if necessary.
8. Review all entered information carefully before submitting to ensure accuracy and completeness.

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