Independent contractor workers compensation waiver

    • [DOCX File]REQUEST FOR WORKERS' COMPENSATION WAIVER

      https://info.5y1.org/independent-contractor-workers-compensation-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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    • [DOC File]INDEPENDENT CONTRACTOR SERVICES AGREEMENT

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_7bea82.html

      Independent Contractor: ... nor shall any partial payment outside of the "payment schedule" be deemed as a waiver of any of the Client's rights to strict compliance with any of the terms of this agreement. ... Contractor will obtain and keep in force Workers Compensation …

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    • [DOCX File]INDEPENDENT CONTRACTOR AGREEMENT - Arizona

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_786fc8.html

      A CERTIFICATE OF WORKERS' COMPENSATION INSURANCE OR A SOLE PROPRIETOR WAIVER MUST BE OBTAINED IN THOSE INSTANCES. This is a written agreement under the compulsory Workers' Compensation …

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    • [DOCX File]SOLE PROPRIETOR EXCLUSION FORM - MBWCF

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_95a641.html

      For workers’ compensation purposes our company is required to maintain verification regarding workers’ compensation coverage for all of our independent contractors. You must provide the following information, if you: are a sole proprietor not qualifying as an “employer” under the Michigan Workers’ Disability Compensation …

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    • [DOCX File]Sole Proprietor Waiver - Arizona

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_9da6e6.html

      The following is a written waiver under the compulsory Workers' Compensation laws of the State of Arizona, A.R.S. § 23-901 (et. seq.), and specifically, ... I am performing work as an independent …

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    • [DOCX File]Sole Proprietor Waiver - ADOT

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_cca1d6.html

      The following is a written waiver under the compulsory Workers' Compensation laws of the State of Arizona, ... 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 …

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    • [DOCX File]TFC | Texas Facilities Commission

      https://info.5y1.org/independent-contractor-workers-compensation-waiver_1_311bb2.html

      WORKERS’ COMPENSATION WAIVER. WORKERS’ COMPENSATION WAIVER. ALL EMPLOYERS MUST PROVIDE EVIDENCE OF COMPLIANCE WITH THE INSURANCE REQUIREMENTS OF THE TEXAS WORKERS’ COMPENSATION ACT. Generally, an employer with one or more employees carries workers’ compensation …

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