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Note: Our downloadable forms have been converted into the Adobe Acrobat, Portable Document File (PDF) format to retain the publication formatting of the original document. These forms will print with excellent results. You must have the Adobe Acrobat Reader to view and print PDF documents. PDF files are identified by the Acrobat PDF icon.

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Use the links below to aquire necessary forms.

Exemption and Related Forms:

Notice of Election to be Exempt

Instructions for completing Notice of Election to be Exempt

Revocation of Election to be Exempt

Notice of Election of Coverage

Revocation of Election of Coverage

Monthly Change Sheet

Do you suspect fraud of your competitors or others?

WC Anti-Fraud Reporting System

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