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Self employed affidavit

Self employment affidavit 2026

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4.8 out of 5

63 votes

The document is a Self-Employment Affidavit required for obtaining a contractor's license in Arizona. It confirms that the applicant is self-employed and not subject to the Workers' Compensation Act provisions, stating they will not employ workers or supervise independent contractors in their business. The affidavit outlines the responsibilities of the applicant regarding compliance with the Workers' Compensation Act if their employment status changes.

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Click ‘Get Form’ to open the self-employment affidavit in our editor.
Begin by entering your printed name in the designated field at the top of the form.
Fill in the name of your business or sole proprietorship, including any DBA (Doing Business As) if applicable.
Carefully read each statement regarding your self-employment status and check the appropriate boxes as required.
Sign and date the affidavit at the bottom, ensuring that you have authority to sign on behalf of your company.
If necessary, complete the notary section by providing details for notarization, including printed names and signatures.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (63 Votes)
2014	4.4 Satisfied (71 Votes)

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Self employment affidavit 2026

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How to use or fill out self employment affidavit with DocHub

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