Form WC-138-5 Employer's Affidavit of Exception From Workers' Compensation Benefits - Missouri

Form WC-138-5 Employer's Affidavit of Exception From Workers' Compensation Benefits - Missouri

What Is Form WC-138-5?

This is a legal form that was released by the Missouri Department of Labor and Industrial Relations - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-138-5?A: Form WC-138-5 is an Employer's Affidavit of Exception From Workers' Compensation Benefits in Missouri.

Q: What is the purpose of Form WC-138-5?A: The purpose of Form WC-138-5 is for an employer to declare that they are exempt from providing workers' compensation benefits.

Q: Who should use Form WC-138-5?A: This form should be used by employers in Missouri who believe they are exempt from having workers' compensation insurance.

Q: How should I fill out Form WC-138-5?A: You should provide your employer information and indicate the reason for exemption on the form.

Q: Are there any fees associated with filing Form WC-138-5?A: No, there are no fees associated with filing Form WC-138-5.

Q: What should I do with the completed Form WC-138-5?A: You should submit the completed form to the Missouri Division of Workers' Compensation.

Q: What happens after I submit Form WC-138-5?A: The Missouri Division of Workers' Compensation will review the form and determine if the employer meets the criteria for exemption.

Q: Can I be denied exemption from workers' compensation benefits?A: Yes, the Division has the right to deny exemption if they find that the employer does not qualify.

Q: What are the consequences of not having workers' compensation insurance?A: If an employer is not exempt and does not carry workers' compensation insurance, they may face penalties and legal consequences in the event of a workplace injury.

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Form Details:

  • Released on April 1, 2012;
  • The latest edition provided by the Missouri Department of Labor and Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC-138-5 by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.

Download Form WC-138-5 Employer's Affidavit of Exception From Workers' Compensation Benefits - Missouri

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  • Form WC-138-5 Employers Affidavit of Exception From Workers Compensation Benefits - Missouri, Page 1
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