Workers' Compensation Exemption Registry

The Workers’ Compensation Exemption Registry is for the purpose of establishing construction service providers who are exempt from workers’ compensation coverage and in no way reflects licensing or certification of any construction services provider.

Highlighted Services

File an Initial Workers' Compensation Exemption Registration in the registry.
Obtain an official copy of an existing Workers' Compensation Exemption Registration, as was provided at the time the exemption was filed.
Search the Workers' Compensation Exemption Registry and view general information about an Exemption Registration.
List of Workers' Compensation Exemption Online Processes.
Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)
Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)
Form used to file Workers' Compensation Exemption Registration Change Of Address.
Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)
Form used to correct Workers' Compensation Exemption Registration Applicant information.
Workers' Compensation Exemption Registration Request For Copy form.
Subsequent Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4530 RCO)
Form used to voluntarily revoke the Workers' Compensation Exemption Registration.
Subsequent Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4532 RCO)
Subsequent Workers' Compensation Exemption Registration Application for Reinstatement for Religious Conscientious Objection (ss-4531 RCO)