Independent Contractor Exemption Certificate Application 2026

1. Click ‘Get Form’ to open the Independent Contractor Exemption Certificate Application in our platform's editor.
2. Begin by filling in your personal information, including your name, mailing address, and business details. Ensure that all entries are accurate and match your business documentation.
3. In section 2, circle your business structure (either Corporation or Manager-Managed LLC) and provide your physical address and contact information.
4. List all occupations for which you are applying for the exemption in section 3. Make sure to gather the necessary documentation to demonstrate your established business for each occupation.
5. In section 4, indicate your status within the company by circling the appropriate title and confirming ownership percentages as required.
6. Review all sections carefully. If corrections are needed, cross out errors and make changes in ink. Initial any modifications.
7. Sign the application and waiver form in front of a notary public, ensuring you understand the implications of waiving workers' compensation benefits.
8. Finally, submit your completed application along with the required fee and documentation to the specified address.

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