Independent contractor work comp waiver
[DOCX File]Sole Proprietor Waiver - Arizona
https://info.5y1.org/independent-contractor-work-comp-waiver_1_9da6e6.html
I am performing work as an independent contractor for the State of Arizona, Enter State Agency, Department And/Or Division, for workers' compensation purposes, and therefore, I am not entitled to workers' compensation benefits from the State of Arizona, ... Sole Proprietor Waiver
[DOCX File]SOLE PROPRIETOR EXCLUSION FORM - MBWCF
https://info.5y1.org/independent-contractor-work-comp-waiver_1_95a641.html
*NOTE: All private employers and independent contractors regularly employing one or more employees for 35 hours or more per week for 13 weeks or longer with a 52-week period are employers under the Act and do not qualify for exclusion so should not complete this form. ... Attach an invoice or 1099 from work …
[DOCX File]Sole Proprietor Waiver - ADOT
https://info.5y1.org/independent-contractor-work-comp-waiver_1_cca1d6.html
I am performing work as an independent contractor for the State of Arizona, Arizona Department Of Transportation, for workers' compensation purposes, and therefore, I am not entitled to workers' compensation benefits from the State of Arizona, ... Sole Proprietor Waiver
[DOCX File]REQUEST FOR WORKERS' COMPENSATION WAIVER
https://info.5y1.org/independent-contractor-work-comp-waiver_1_367e75.html
REQUEST FOR WORKERS' COMPENSATION WAIVER. DATE: June 3, 2016. JOB/CONTRACTOR REFERENCE NUMBER: To Whom It May Concern: I,_____, acknowledge that I am an independent …
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