Form 36a 2025

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The document CC-FORM-36A is an Affidavit of Exempt Status under the Administrative Workers' Compensation Act, intended for independent contractors in Oklahoma. It outlines the filing process, including a $50 fee and submission details to the Workers’ Compensation Commission. The affidavit allows contractors to declare their status as independent, thereby exempting them from workers' compensation insurance requirements. It includes a series of statements to help individuals determine their independent contractor status and emphasizes the legal implications of providing false information.

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Click ‘Get Form’ to open it in the editor.
Begin by selecting the type of filing: check either 'Original Affidavit of Exempt Status' or 'Renewal'. If renewing, provide the Affidavit number and expiration date.
In the section for personal information, enter your name and business name. Ensure accuracy as this information is crucial for processing.
Complete the affidavit statement by confirming your status as an independent contractor. Carefully read each statement and check those that apply to your situation.
Sign and date the form at the bottom. This signature confirms that all provided information is true and complete.
Finally, review all sections for completeness before submitting. You can easily save or print your completed form directly from our editor.

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What do I need to sign my form 36a electronically?

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How do you document an injury at work?

When & How to Document Workplace Injury Get to the site as quickly as possible. Ensure the area is safe to enter. Make sure the injured/ill person is receiving first-aid or medical attention. Identify any witnesses. Record the scene with photos (ideally with date and time stamp) or sketches. Safeguard any evidence.

How long do you have to file a workers comp claim in Oklahoma?

Anyone wishing to file a claim for workers' compensation benefits with the Court must do so within two (2) years from the date of the injury or death, or within two (2) years from the date of payment of any compensation or wages in lieu of compensation, or within two (2) years of authorized medical care.

What form is used by the employer to report an injury in Oklahoma?

You must complete an Injury & Illness Incident Report (OK Form 301) for each injury or illness recorded on this form. If you're not sure whether a case is recordable, call the Oklahoma Department of Labor for help at 1-888-269-5353.

What is dwc1 claim form?

If an employee suffers a work-related injury or illness, he or she may be entitled to workers' compensation benefits. Give this form to the employee and have them complete the "Employee" section and then return the form to you.

Does a sole proprietor need workers comp in Oklahoma?

Sole Proprietors - Sole proprietors are not "employees", and are therefore not obligated to secure compensation on themselves. However, sole proprietors may elect to be covered by a policy of insurance covering benefits under the AWCA.

How long can you stay on Workmans Comp in Oklahoma?

Answer: You may receive TTD benefits for as long as your are able to work, subject to certain limitations. The maximum amount of TTD benefits is 104 weeks. Payment may continue for an additional 52 weeks if there is a finding of consequential injury, and additional time is needed to reach maximum medical improvement.

How does Workmans Comp work in Oklahoma?

When you are injured on the job and you are unable to work for more than 7 calendar days, you are eligible for weekly benefits amounting to 70% of your average weekly wage, up to the maximum set by law. The maximum is equal to the state's average weekly wage.

Does workers comp pay for pain and suffering in Oklahoma?

Note that there are no benefits for workers' pain and suffering after a job-related injury. In fact, workers' compensation makes no provision for any kind of non-economic damages. That said, certain medical services related to the effects of an injury may be covered by workers' compensation.

Form 36a 2025

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