Fillable online exclusion for workerscompensation for alabama form

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CORPORATE OFFICER EXCLUSION ___ PRINT NAME OF CORPORATION/LLC PHYSICAL ADDRESS ___ MAILING ADDRESS ___ CITY STATE ZIP ( )___ TELEPHONE I, the undersigned officer of the above named corporation, do hereby, elect to be exempt from coverage under the Alabama Workers= Compensation Law, 25-5-50(b) Code of Alabama 1975, as amended
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online exclusion for workerscompensation for alabama
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