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

Register an Initial Exemption

File an Initial Workers' Compensation Exemption Registration in the registry.
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Request a Copy

Obtain an official copy of an existing Workers' Compensation Exemption Registration, as was provided at the time the exemption was filed.
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Search Exemption Registry

Search the Workers' Compensation Exemption Registry and view general information about an Exemption Registration.
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Workers' Compensation Exemption Registry

Workers' Compensation Exemption Registry Online Services

List of Workers' Compensation Exemption Online Processes.
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Renew Exemption Registration

Renew an existing Initial or Subsequent Workers' Compensation Exemption Registration.
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Request a Copy

Obtain an official copy of an existing Workers' Compensation Exemption Registration, as was provided at the time the exemption was filed.
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Workers' Compensation Exemption Registry Online Services

List of Workers' Compensation Exemption Online Processes.
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Search Exemption Registry

Search the Workers' Compensation Exemption Registry and view general information about an Exemption Registration.
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Register a Subsequent Exemption

File a new Subsequent Workers' Compensation Exemption Registration in the registry. If you have an Initial Registration and have an additional business entity to register, file a Subsequent Registration.
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Register an Initial Exemption

File an Initial Workers' Compensation Exemption Registration in the registry.
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Initial Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4528 RCO)

Initial Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4528 RCO)
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Initial Workers' Compensation Exemption Registration Application Form (ss-4523)

Form used to file the Initial Workers' Compensation Exemption Registration Application.
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Initial Workers' Compensation Exemption Registration Renewal Form (ss-4528)

Form used to renew the Initial Workers' Compensation Exemption Registration.
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Change Of Address Form (ss-4524)

Form used to file Workers' Compensation Exemption Registration Change Of Address.
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Applicant Correction Form (ss-4526)

Form used to correct Workers' Compensation Exemption Registration Applicant information.
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Voluntary Revocation Form (ss-4529)

Form used to voluntarily revoke the Workers' Compensation Exemption Registration.
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Initial Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)

Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)
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Affidavit for Religious Conscientious Objection

Form used to file Affidavit for Religious Conscientious Objection.
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Initial Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4523 RCO)

Form used for Initial Workers' Compensation Exemption Registration religious conscientious objections.
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Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)

Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)
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Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)

Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)
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Change Of Address Form (ss-4524)

Form used to file Workers' Compensation Exemption Registration Change Of Address.
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Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)

Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)
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Applicant Correction Form (ss-4526)

Form used to correct Workers' Compensation Exemption Registration Applicant information.
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Request For Copy Of Registration Notice (ss-4525)

Workers' Compensation Exemption Registration Request For Copy form.
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Subsequent Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4530 RCO)

Subsequent Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4530 RCO)
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Voluntary Revocation Form (ss-4529)

Form used to voluntarily revoke the Workers' Compensation Exemption Registration.
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Subsequent Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4532 RCO)

Subsequent Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4532 RCO)
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Subsequent Workers' Compensation Exemption Registration Application for Reinstatement for Religious Conscientious Objection (ss-

Subsequent Workers' Compensation Exemption Registration Application for Reinstatement for Religious Conscientious Objection (ss-4531 RCO)
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Workers' Compensation Exemption Registry FAQs

Workers' Compensation Exemption Registry frequently asked questions.
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