Nj workers' compensation exemption form 2026

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The document is a Notice of Election for Workers' Compensation and Employers' Liability Insurance in New Jersey, allowing self-employed individuals and partners in partnerships to elect coverage as employees for benefits and premium payments. The election must be made at policy purchase or renewal, cannot be rescinded during the policy period, and requires all partners or members to elect coverage together. It outlines the responsibilities of the insurer and the necessity of completing the form for record-keeping.

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