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Workers Comp Exemption Certificate
"I need a Workers Comp Exemption Certificate for my family-owned plumbing business with five employees, all of whom are direct relatives, to confirm our exemption status starting from January 2025."
1. Business Information: Legal name, registration number, and address of the business seeking exemption
2. Exemption Category: Specific category under which exemption is claimed (e.g., public organization, health service body, family business)
3. Legal Basis: Reference to relevant legislation under which exemption is claimed (Employers' Liability Act 1969 and related regulations)
4. Declaration: Formal statement confirming eligibility for exemption and accuracy of information provided
5. Duration and Validity: Period for which the exemption certificate is valid and any conditions affecting validity
6. Signature Block: Area for authorized signatory, position, and date of signing
1. Employee Count Declaration: Required when exemption depends on number of employees or employment structure
2. Family Business Statement: Required for family businesses, detailing ownership structure and familial relationships
3. Public Body Classification: Required for public organizations, specifying type of public body and statutory basis
4. Health Service Body Details: Required for NHS and related organizations, specifying statutory status
1. Schedule 1 - Supporting Documentation: List of attached documents evidencing eligibility for exemption
2. Schedule 2 - Employee Information: Details of relevant employees and their status (particularly for family business exemptions)
3. Schedule 3 - Statutory References: Detailed references to relevant sections of applicable legislation and regulations
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