CALL 844-967-5247 (844-WORK-5247) FOR A QUICK QUOTE.

Workers' Compensation Exemption Forms

Download Arizona ROC-required exemption forms and understand the requirements for workers' compensation exemptions for contractors and business owners.

ROC Compliance Required
Official State Forms

Important Warning

Legal Requirements

Exemption forms must be filed properly with Arizona ROC

No Protection

Exemptions mean no workers' comp coverage for injuries

Employee Coverage

Employees must still have workers' compensation coverage

Critical Information About Workers' Compensation Exemptions

Before filing an exemption: Understand that exempting yourself from workers' compensation means you will have NO coverage for work-related injuries. This is a serious decision that affects your financial protection and legal compliance.

Professional consultation recommended: We strongly recommend speaking with an insurance professional before filing exemption forms to understand all implications and alternatives.

Types of Workers' Compensation Exemptions

Arizona allows certain business owners and contractors to exempt themselves from workers' compensation requirements under specific circumstances.

Sole Proprietor Exemption

For individual contractors working alone without employees

Requirements:

  • Must be sole proprietor
  • No employees on payroll
  • Cannot have business partners

Form Required: ROC Form 6A

Corporate Officer Exemption

For corporate officers who want to exempt themselves from coverage

Requirements:

  • Must be corporate officer
  • Own minimum percentage of company
  • Cannot have other employees without coverage

Form Required: ROC Form 6B

Partnership Exemption

For partners in a partnership business structure

Requirements:

  • Must be legal partner
  • Partnership agreement required
  • All partners must be exempt or covered

Form Required: ROC Form 6C

LLC Member Exemption

For LLC members seeking exemption from workers compensation

Requirements:

  • Must be LLC member
  • Operating agreement required
  • Specific ownership requirements

Form Required: ROC Form 6D

Download Official ROC Exemption Forms

These are the official Arizona Registrar of Contractors forms required for workers' compensation exemptions. All forms must be completed accurately and filed properly.

ROC Form 6A

Sole Proprietor Exemption Form

ROC Form 6B

Corporate Officer Exemption Form

ROC Form 6C

Partnership Exemption Form

ROC Form 6D

LLC Member Exemption Form

Additional Required Documents

Supporting Documentation

  • Copy of business license
  • Articles of incorporation (if applicable)
  • Partnership or LLC agreement
  • Notarized signatures

Filing Requirements

  • File before starting work
  • Must be renewed periodically
  • Submit to Arizona ROC
  • Pay required filing fees

Risks and Considerations

Before filing for workers' compensation exemption, carefully consider these important risks and potential consequences.

Potential Risks

No Injury Protection

If you're injured on the job, you'll have no workers' compensation benefits for medical expenses, lost wages, or disability payments.

Personal Liability

You may be personally liable for medical costs and lost income if injured while working on a project.

Client Requirements

Some clients may require all contractors to have workers' compensation coverage, limiting your business opportunities.

Compliance Issues

Improper exemption filing or changes in business structure can result in penalties and legal issues.

Alternative Solutions

Traditional Workers' Comp

Maintain full workers' compensation coverage for complete protection and peace of mind while working.

Accident Insurance

Consider supplemental accident insurance to provide some protection if you choose to file an exemption.

Professional Consultation

Speak with an insurance professional to explore all options and understand the best choice for your situation.

Business Structure Review

Review your business structure with legal and insurance professionals to optimize protection and costs.

Get Professional Guidance

Don't navigate exemption decisions alone. Our experienced team can help you understand your options and make the best choice for your business.

Expert Consultation

Speak with experienced insurance professionals who understand Arizona ROC requirements and can explain all your options.

Call for Consultation

Coverage Analysis

Get a complete analysis of your insurance needs and protection options before making exemption decisions.

Request Analysis

Form Assistance

Get help completing and filing exemption forms correctly to ensure compliance with all ROC requirements.

Get Form Help

Questions About Workers' Compensation Exemptions?

Our team of insurance professionals can help you understand exemption requirements, risks, and alternatives to make the best decision for your business.

Licensed insurance professionals • Arizona ROC experts • 20+ years experience