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This form allows a corporate officer who was not previously an employee of the corporation to elect to become subject to the provisions of the Rhode Island Workers’ Compensation Statute.
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How to fill out election by exempt corporate

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How to fill out Election by Exempt Corporate Officer to Become Subject to Workers’ Compensation

01
Obtain the Election by Exempt Corporate Officer form from your local workers’ compensation office or website.
02
Fill in the corporate officer's name and business information on the form.
03
Indicate the reason for opting into workers’ compensation coverage.
04
Ensure that all required signatures are provided, which may include the corporate officer and any necessary company representatives.
05
Submit the completed form to the designated workers’ compensation authority for your state.

Who needs Election by Exempt Corporate Officer to Become Subject to Workers’ Compensation?

01
Corporate officers who wish to elect coverage under workers’ compensation laws despite being exempt.
02
Businesses that have exempt corporate officers but want to provide them with workers’ compensation benefits.
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Election by Exempt Corporate Officer to Become Subject to Workers’ Compensation is a legal process that allows corporate officers, who are generally exempt from state workers' compensation laws, to voluntarily opt-in to the workers' compensation system. This enables them to receive benefits under the workers' compensation program in case of work-related injuries or illnesses.
Exempt corporate officers who wish to receive workers' compensation benefits must file the Election. This typically includes individuals who are officers in the corporation but are not automatically covered by state workers’ compensation laws due to their status.
To fill out the Election, corporate officers must complete the prescribed form, providing necessary personal information such as name, title, and contact details, and indicate their intention to elect coverage under the workers' compensation regulations. It's important to follow any specific instructions provided with the form.
The purpose of the Election is to allow corporate officers, who are usually exempt from mandatory workers' compensation coverage, to opt-in so they can have legal access to benefits for work-related injuries. This ensures that they are protected under the workers' compensation laws.
The reported information typically includes the corporate officer's name, the corporation's name, contact information, position or title within the company, and a declaration of the intention to elect coverage under workers' compensation laws. Additional information may be required based on state regulations.
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