Affidavit of Exemption From the Kentucky Workers' Compensation Act (Individual) - Kentucky

Affidavit of Exemption From the Kentucky Workers' Compensation Act (Individual) - Kentucky

Affidavit of Exemption From the Kentucky Workers' Compensation Act (Individual) is a legal document that was released by the Kentucky Labor Cabinet - a government authority operating within Kentucky.

FAQ

Q: What is an Affidavit of Exemption?A: An Affidavit of Exemption is a form used in Kentucky to request exemption from the Workers' Compensation Act.

Q: Who can file an Affidavit of Exemption?A: Individuals who qualify as an independent contractor or sole proprietor in Kentucky can file an Affidavit of Exemption.

Q: What is the purpose of filing an Affidavit of Exemption?A: The purpose of filing an Affidavit of Exemption is to seek exemption from the mandatory coverage under the Kentucky Workers' Compensation Act.

Q: What are the requirements to qualify for an exemption?A: To qualify for an exemption, individuals must meet specific criteria outlined by the Kentucky Labor Cabinet.

Q: Are there any fees for filing an Affidavit of Exemption?A: No, there are no fees for filing an Affidavit of Exemption in Kentucky.

Q: How long does the exemption remain valid?A: The exemption remains valid until it is revoked or the individual no longer meets the qualifying criteria.

Q: What happens if I don't file an Affidavit of Exemption?A: If you don't file an Affidavit of Exemption and you are considered an employer under the Kentucky Workers' Compensation Act, you may be required to provide workers' compensation coverage for your employees.

Q: Can an Affidavit of Exemption be revoked?A: Yes, the Kentucky Labor Cabinet has the authority to revoke an Affidavit of Exemption if they determine that the individual no longer meets the qualifying criteria or has provided false information.

Q: What should I do if my Affidavit of Exemption is revoked?A: If your Affidavit of Exemption is revoked, you may be required to obtain workers' compensation coverage and comply with the Kentucky Workers' Compensation Act.

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Form Details:

  • The latest edition currently provided by the Kentucky Labor Cabinet;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Kentucky Labor Cabinet.

Download Affidavit of Exemption From the Kentucky Workers' Compensation Act (Individual) - Kentucky

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