Application to Self-insure Workers' Compensation Liabilities - South Dakota

This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.

Application to Self-insure Workers' Compensation Liabilities - South Dakota

Application to Self-insure Workers' Compensation Liabilities is a legal document that was released by the South Dakota Department of Labor & Regulation - a government authority operating within South Dakota.

Form Details:

  • Released on June 1, 2021;
  • The latest edition currently provided by the South Dakota Department of Labor & Regulation;
  • 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 or browse more documents and templates provided by the South Dakota Department of Labor & Regulation.

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Download Application to Self-insure Workers' Compensation Liabilities - South Dakota

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