Workers Compensation Exemption Forms by State
Find official workers compensation exemption forms for all 50 states. Download state-specific forms and understand filing requirements for contractors, business owners, and corporate officers.
Important Legal Notice
Workers compensation exemption forms have specific requirements and deadlines that vary by state. Filing these forms incorrectly or missing deadlines can result in penalties, fines, or loss of exemption status.
We strongly recommend consulting with a licensed insurance professional before filing any exemption forms to ensure compliance with your state's requirements and to understand the implications of exempting yourself from coverage.
Understanding Workers Compensation Exemptions
Who Can Apply for Exemptions?
- •Sole proprietors (in most states)
- •Business partners
- •Corporate officers with ownership stakes
- •LLC members in certain states
Key Considerations
- •Loss of injury protection coverage
- •Potential personal liability exposure
- •Impact on business licensing and bonding
- •Annual renewal requirements in many states
State-by-State Exemption Forms
Click on your state below to access official exemption forms and requirements. Forms are provided by each state's workers compensation department or industrial commission.
Alabama
Department:
Alabama Department of Labor
Form Name:
Exemption from Workers' Compensation Coverage
Requirements:
Sole proprietors and partnerships may exempt themselves
Alaska
Department:
Alaska Department of Labor
Form Name:
Election to be Excluded from Coverage
Requirements:
Officers and partners may elect exemption
Arizona
Department:
Arizona Industrial Commission
Form Name:
Election of Exemption
Requirements:
Corporate officers and LLC members may exempt
Arkansas
Department:
Arkansas Workers' Compensation Commission
Form Name:
Corporate Officer Exemption
Requirements:
Corporate officers owning 10% or more may exempt
California
Department:
California Department of Industrial Relations
Form Name:
Notice of Election to be Subject to or Excluded from Workers' Compensation
Requirements:
Corporate officers may elect exemption with conditions
Colorado
Department:
Colorado Division of Workers' Compensation
Form Name:
Corporate Officer Election Form
Requirements:
Corporate officers may elect exemption annually
Connecticut
Department:
Connecticut Workers' Compensation Commission
Form Name:
Election to be Excluded from Coverage
Requirements:
Corporate officers and LLC members may exempt
Delaware
Department:
Delaware Department of Labor
Form Name:
Corporate Officer Exemption Election
Requirements:
Officers with 10% or more ownership may exempt
Florida
Department:
Florida Division of Workers' Compensation
Form Name:
Petition for Exemption from Workers' Compensation Coverage
Requirements:
Corporate officers may petition for exemption
Georgia
Department:
Georgia State Board of Workers' Compensation
Form Name:
Election to Reject Workers' Compensation Coverage
Requirements:
Sole proprietors and partners may reject coverage
Don't see your state listed above? We're continuously updating our database.Contact us for assistance finding forms for additional states.
Additional Resources
Filing Requirements
Learn about deadlines, renewal requirements, and proper filing procedures for your state.
View Requirements →Risks & Alternatives
Understand the risks of exempting yourself and explore alternative coverage options.
Learn More →Expert Consultation
Get professional guidance on exemption decisions and coverage alternatives.
Schedule Consultation →Need Help with Workers Compensation Decisions?
Our experienced team can help you understand exemption requirements, evaluate risks, and find the right coverage for your business.