Workers' Compensation Exemption Registry

Form used to file Workers' Compensation Exemption Registration Change Of Address.
Read the FAQs or download forms for Workers\' Compensation Exemption Registry filings.
FAQs for Workers\' Compensation Exemption Registry filings.
Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)
Form used to renew the Initial Workers' Compensation Exemption Registration.
Workers' Compensation Exemption Registration Request For Copy form.
Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)
Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)
Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)