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How to use or fill out workers comp exemption form with our platform
- Click ‘Get Form’ to open the workers comp exemption form in the editor.
- Begin by entering the name and trade name of the independent contractor at the top of the form. Ensure accuracy as this information is crucial for identification.
- Fill in the type of work being performed, along with the Social Security or Federal Employer Identification Number. This section verifies the contractor's status.
- Provide both addresses and phone numbers for the independent contractor and policyholder. This establishes clear communication channels.
- Initial where applicable next to each criterion listed to confirm that both parties agree on the independent contractor's status according to Colorado law.
- Both parties must sign and have their signatures notarized. Ensure you follow all instructions carefully to avoid delays in processing.
- Make copies of the completed form for your records before sending the notarized original to Pinnacol Assurance at the specified address.
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