Insurance Coverage & Certification
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Form
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Description
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Rejection
of Coverage By Corporate Officers Or Member Of A Limited Liability
Company
Form # WC43
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This form is used by corporate
officers or members of a limited liability company to reject workers’
compensation insurance coverage. |
Exclusion
of Uncompensated Officials
Form # WC44
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This form is used by a public entity
to exclude uncompensated elected or appointed officials from workers’
compensation insurance coverage for the upcoming policy year. |
Rejection
of Coverage By Partners and Sole Proprietors Performing Construction
Work on Construction Sites
Form # WC45
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This form is used by
partners and sole proprietors performing construction work on
construction sites to reject workers' compensation insurance coverage. |
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Request for Certification
Form
#WC109
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This form is used by employers to
obtain certification status in the Colorado Workers’ Compensation
Premium Cost Containment Program. |
