Workers Comp Exemption Certificate Template for Nigeria

1. Alternative Coverage: Details of alternative insurance or self-insurance arrangements, required when exemption is granted based on alternative coverage

2. Employee Count Declaration: Statement of current employee numbers, required when exemption is based on company size

3. Risk Assessment: Summary of workplace risk assessment, required for high-risk industries

4. Previous Certificate Reference: Reference to previous exemption certificates, required for renewals

5. Foreign Operations: Special provisions for companies with international operations, required for multinational companies

1. Schedule A - Covered Locations: List of specific business locations covered by the exemption

2. Schedule B - Employee Categories: Detailed list of employee categories and positions covered by the exemption

3. Schedule C - Supporting Documents: List of documents submitted to support the exemption application

4. Appendix 1 - Compliance History: Record of past compliance with labor laws and safety regulations

5. Appendix 2 - Financial Security: Details of any bonds, securities, or financial guarantees provided in lieu of workers' compensation insurance