The Oklahoma Exempt Form, officially known as CC-FORM-36A, is a critical document for individuals and businesses seeking exemption from the definition of "employee" under the Administrative Workers' Compensation Act (AWCA). By submitting this Affidait of Exempt Status, applicants are requesting to be recognized either as independent contractors or as not requiring workers' compensation insurance coverage for their services, based on specific criteria outlined by the Oklahoma Workers' Compensation Commission. To ensure compliance and understand the implications of this exemption, it is recommended that interested parties carefully review the eligibility requirements and complete the form accurately.
To start the process of filing for an exempt status, click the button below.
In the evolving landscape of work dynamics within Oklahoma, the Oklahoma Exempt form emerges as a pivotal document, streamlining compliance with the Administrative Workers’ Compensation Act (AWCA). Located at the heart of Oklahoma City, with options to file in person or online, this affidavit empowers individuals and business entities to declare an exempt status, thereby navigating away from the conventional definition of an employee under the AWCA. By submitting this form, alongside a nonrefundable filing fee, entities articulate their status, effectively exempting themselves from workers' compensation insurance premiums under specific conditions. The form, which is valid for two years with an option for renewal, necessitates a comprehensive understanding of the exempt status, distinguishing between employees and independent contractors as per legal stipulations. Moreover, the form acts as a testament to the signer's understanding of the implications of such a status, including the voluntary renunciation of workers' compensation benefits and the potential legal ramifications in the event of misinformation. Facilitating a clearer demarcation between traditional employment and independent contracting, this affidavit embodies the legal nuances that govern workplace relationships, insurance liabilities, and the rights of businesses and individuals operating within the remit of Oklahoma's legislation. Enveloped within this statutory framework are guidelines designed to aid applicants in evaluating their eligibility for exempt status, underlining the necessity for candid disclosure and a thorough grasp of one’s responsibilities and entitlements under the AWCA.
THIS SPACE FOR COMMISSION USE ONLY
CC-FORM-36A
WORKERS’ COMPENSATION COMMISSION
1915 NORTH STILES AVENUE STE 231
File original and one (1) copy with the
OKLAHOMA CITY, OK 73105
Workers’ Compensation Commission
(WCC) in-person or by mail, or file online at
www.ok.gov/wcc.
AFFIDAVIT OF EXEMPT STATUS UNDER THE
Must be accompanied by a nonrefundable
$50 filing fee payable to the WCC.
ADMINISTRATIVE WORKERS' COMPENSATION ACT
CHECKS WILL NOT BE ACCEPTED.
Type of Filing (check one): Original Affidavit of Exempt Status - Expires at midnight two (2) years from the filing date.
Renewal - Expires at midnight two (2) years from the expiration date indicated below.
If renewing a current Affidavit, provide: Affidavit # __________ and Expiration Date: _____________
I, ________________________________________, state under penalty of perjury, as follows:
1.I, ____________________________________ (Name of individual), in my individual capacity or operating as
_________________________________ (business name), have read, signed and attached the Exempt Status Fact Sheet and understand the definition of "employee" and specific exceptions to that definition found in 85A O.S. §2(18). I also understand that an Independent Contractor is one who engages to perform certain services for another, according to his own manner, method, free from control and direction of his contractor in all matters connected with the performance of the service, except as to the result or product of the work. A Contractor may be either (i) the owner of a project or job or (ii) an Independent Contractor in any tier who has subcontracted with a subcontractor.
2.I understand that based upon the representations in this Affidavit of Exempt Status ("Affidavit"), I am reques�ng that the recipient of this Affidavit consider my business to either (i) be exempt from the defini�on of “employee” or (ii) be that of an independent contractor, and that no workers' compensa�on insurance premium be charged for the services performed by my business. I do not want workers’ compensa�on insurance and understand that I am not eligible for workers’ compensa�on benefits.
3.In the event changed circumstances make securing compensation pursuant to the requirements of the Administrative Workers' Compensation Act necessary, I will execute and file a Cancellation of Affidavit of Exempt Status with the Workers' Compensation Commission. I will obtain workers’ compensation and employers’ liability insurance for my employees if I have employees, unless they are otherwise exempt from the requirements of the Administrative Workers’ Compensation Act.
4.The information I have provided is not the result of force, threats, coercion, compulsion or duress.
5.I understand that the execution of this Affidavit, if I am an independent contractor, shall establish a conclusive presumption that I am not an employee for purposes of the Administrative Workers’ Compensation Act.
6.I understand that the execution of this Affidavit shall not affect the rights or coverage of any employee of the individual or business executing this Affidavit.
7.I understand if any contractor or its insurer shall become liable under the Administrative Workers’ Compensation Act for the payment of compensation due to a compensable work related injury of my employee(s), the contractor or its insurer may recover from me the amount of such compensation paid or for which liability is incurred.
8.I understand that knowingly providing false information on an executed Affidavit of Exempt Status shall constitute a misdemeanor punishable by a fine not to exceed One Thousand Dollars ($1,000.00).
Affiant Signature
I declare under PENALTY OF PERJURY that I have examined all statements contained herein, and to the best of my knowledge and belief, they are true, correct and complete.
Affiant Name ______________________________________ Title ________________________ Phone _____________________
Business Name ____________________________________________________ Email ___________________________________
FEIN/EIN/TIN # _______________ Mailing Address ________________________________________________________________
Affiant Signature _________________________________________________________________ Date _____________________
Any person who commits workers’ compensation fraud, upon conviction, shall be guilty of a felony punishable by imprisonment, a fine or both.
It is a crime to falsify the information on this form.
Effective 1/2/19
EXEMPT STATUS FACT SHEET
Pursuant to 85A O.S., §36, any individual or business entity that is not required to secure compensation under the requirements of the Administrative Workers' Compensation Act (AWCA) may execute an Affidavit of Exempt Status. Those who are unsure as to whether they may lawfully submit an Affidavit of Exempt Status should seek competent legal advice.
Employee: 85A O.S., §2(18): The definition of "employee" includes any person, including minors, in the service of an employer under any contract of hire or apprenticeship, written or oral, expressed or implied. It excludes those whose employment is casual and not in the course of the trade, business, profession, or occupation of his or her employer. Additional, specific exceptions may be found in 85A O.S. §2(18)(b).
Independent Contractor: The AWCA does not define "independent contractor." Oklahoma law considers an independent contractor to be one who engages to perform certain services for another, according to his or her own manner and method, free from control and direction of his or her contractor in all matters connected with the performance of the service, except as to the result or product of the work. Independent Contractors are not “employees” for purposes of the AWCA.
Below are statements to help you decide if you are an independent contractor. No one statement is controlling, and your status is based on all the facts in your situation.
1.The nature of the contract between you and the contractor. For example: Is there a writen contract where you agree that you are an independent contractor? Are you a corpora�on or limited liability company? Do you maintain commercial general liability insurance or other business insurance?
2.The contractor exercises very litle control over your work. For example: By the agreement, can the contractor exercise control on the details of the work or your independence? Do you exercise control over most of the details of the work? Do you create plans or specifica�ons for the job? Do you set your own work hours?
3.You are engaged in a dis�nct occupa�on or business for others. For example: Do you work for companies or individuals other than the Contractor? Do you work for compe�tors of the Contractor? Does your business have a logo or uniform?
4.Your job is the kind of occupa�on where the work is usually performed by a specialist without supervision, and not under the direc�on of the contractor. For example: Does the Contractor supervise your work?
5.Your occupa�on requires special skills, license, educa�on or training.
6.The contractor does not supply the things needed to perform your job such as the tools and the place of work. For example: Do you supply any of the materials or tools for the work? Do you operate a vehicle owned by the contractor? Do you perform the work at your business or the contractor’s business loca�on or jobsite? Do you wear a uniform supplied by the contractor?
7.The length and dura�on of the job does not show that you are really an employee. For example: Is this a one-�me job, or will you be doing this for the contractor regularly?
8.You are paid as a separate contractor, not as an employee. For example: Do you invoice the Contractor for your services? Are you paid by the job? Do you file a federal income tax return for your business? Do you expect to receive an IRS Form 1099 from the Contractor? Does the Contractor pay your expenses?
9.Your work is not the regular business of the employer. For example: Is your work customarily done in the Contractor’s line of business or as part of the Contractor’s daily work? Have you ever been an employee of the Contractor? Do you work with other people hired by the Contractor on the work you perform?
10.You do not consider yourself an employee of the contractor. For example: Will the Contractor withhold taxes or monies from your payment? Have you ever been an employee of the Contractor? Have you or your employees ever filed an insurance claim against the Contractor?
11.You do not have the right to terminate the rela�onship without liability. For example: If you quit before the job is finished, is there a penalty?
Filling out the Oklahoma Exempt form is a critical process for individuals or businesses wishing to declare their exempt status under the Administrative Workers' Compensation Act. This affidavit is essential for those who operate as independent contractors or have businesses that do not require workers' compensation insurance. Before beginning the application process, one must thoroughly understand the eligibility criteria, definitions, and obligations stated within the document. Ensure all information provided is accurate and truthful to avoid potential legal consequences. Following a step-by-step guide helps ensure that the form is completed and submitted correctly.
After submitting the Affidavit of Exempt Status, the applicant should await confirmation from the Workers' Compensation Commission. This acknowledgment will verify the submission and indicate the next steps in the exemption process. Keep a copy of all submitted documents for your records. Remember, accurately completing and timely submitting this affidavit is crucial for ensuring compliance with Oklahoma's workers' compensation laws and preserving your exempt status.
What is the Oklahoma Exempt Status Affidavit?
The Oklahoma Exempt Status Affidavit, also known as CC-FORM-36A, is a document filed with the Oklahoma Workers’ Compensation Commission. It allows an individual or business to declare exemption from being considered an "employee" under the Administrative Workers' Compensation Act, thereby not requiring workers' compensation insurance.
Who should file the Oklahoma Exempt Status Affidavit?
Individuals or businesses that operate independently and are not employees under the Oklahoma Administrative Workers' Compensation Act should file this affidavit. Specifically, independent contractors who provide services in a manner that is free from control by another contracting party, and who meet other criteria outlined in the form, should consider filing.
What is the filing fee for the affidavit?
A nonrefundable filing fee of $50 must accompany the affidavit. This payment should be made payable to the WCC (Workers’ Compensation Commission). Importantly, checks are not accepted.
When does the Oklahoma Exempt Status Affidavit expire?
The affidavit expires at midnight two years from the filing date. If you are renewing a current affidavit, the new expiration will also be two years from the previous expiration date indicated on the affidavit.
Can I cancel my Exempt Status Affidavit?
Yes, if circumstances change whereby securing workers' compensation becomes necessary, you must file a Cancellation of Affidavit of Exempt Status with the Workers' Compensation Commission and obtain the appropriate insurance if you have employees, unless they are exempt by the Act.
What happens if I provide false information on my Affidavit of Exempt Status?
Knowingly providing false information on the affidavit constitutes a misdemeanor punishable by a fine not to exceed $1,000. It's crucial to provide accurate and truthful information when completing the affidavit.
How can I submit the Oklahoma Exempt Status Affidavit?
The affidavit can be submitted in person or by mail to the Oklahoma Workers’ Compensation Commission's office in Oklahoma City. Additionally, the form may be filed online at the official website (www.ok.gov/wcc).
What if I am unsure whether I qualify as an independent contractor?
The Exempt Status Fact Sheet attached to the affidavit provides guidelines to help you determine if you might qualify as an independent contractor under the Administrative Workers' Compensation Act. If still uncertain, it is advised to seek competent legal advice to assess your status based on the detailed criteria and conditions outlined.
When filling out the Oklahoma Exempt form, it’s crucial to pay careful attention to detail to avoid common mistakes that can lead to delays or rejection of the application. Here are ten common errors to watch out for:
To ensure a smooth process, applicants should carefully review and comply with all the requirements outlined in the affidavit instructions. It's advisable to seek competent legal advice if there's any uncertainty regarding the eligibility for exempt status under the Administrative Workers' Compensation Act.
When handling the intricacies of workers’ compensation regulations in Oklahoma, particularly regarding the Exempt Status under the Administrative Workers' Compensation Act, it's essential to be aware of and understand several other forms and documents that frequently accompany the Oklahoma Exempt Form (CC-FORM-36A). These forms ensure compliance, grant exemptions, or update the Workers' Compensation Commission (WCC) about significant changes that affect an individual's or business's exempt status. Below is an overview of some of these vital documents.
Understanding each of these documents, their purpose, and when they are needed can significantly streamline compliance efforts with the Oklahoma Workers' Compensation Commission's regulations. Whether transitioning from exempt to non-exempt status, updating business information, or navigating the complexities of workers' compensation claims, these forms play crucial roles in maintaining compliance and fulfilling legal obligations within Oklahoma's workers' compensation framework.
The Oklahoma Exempt Form shares similarities with the Independent Contractor Agreement. Both documents specify the working relationship between the hiring entity and the worker, highlighting the independence of the contractor from the hiring entity's control. By delineating the nature of the relationship, these documents ensure that an independent contractor is not mistakenly classified as an employee, thus exempting them from certain employee benefits and obligations. Much like the Exempt Form, an Independent Contractor Agreement often outlines the scope of work, terms of service, and the autonomy of the contractor in deciding how to complete the tasks.
Another document akin to the Oklahoma Exempt Form is the Workers' Compensation Waiver. Some states allow businesses or sole proprietors to opt out of workers' compensation insurance if they meet certain criteria, which is a central purpose of the Oklahoma Exempt Form. By filing such a waiver, individuals or entities declare their understanding and acceptance of the risks involved in not having workers' compensation coverage, similar to how the Exempt Form outlines the implications of exempt status under the Administrative Workers' Compensation Act.
The Business License Application often resembles the Oklahoma Exempt Form in its requirement for detailed information about the business and its operations. Just as the Exempt Form requires an understanding of the specific definitions of employment under the Administrative Workers' Compensation Act, the Business License Application necessitates detailed information about the business type, ownership, and activities to determine the applicability of various licensing requirements. Both processes are critical for ensuring compliance with state regulations and laws."http>
Tax Exemption Forms, used by entities to certify eligibility for tax exemption, parallel the Oklahoma Exempt Form's purpose of identifying qualifications for exemption, this time from taxation. These forms often require declarative statements regarding the nature of the entity's activities, purposes, and qualifications for exemption, sharing the objective of delineating qualifications that exempt the entity from certain financial obligations.
The Contractor’s Qualification Statement, similar to the Oklahoma Exempt Form, is utilized in the construction industry to verify a contractor's credentials, experience, and financial stability. While the Qualification Statement's purpose is to assure project owners of a contractor's capability to fulfill job requirements, both forms collect detailed information that supports the legitimacy and qualifications of the contractor for their roles or exemption status.
A Declaration of Independent Business Status is another document that aligns closely with the Oklahoma Exempt Form by allowing individuals or entities to affirm their status as independent operators. This declaration, much like the Exempt Form, helps delineate the relationship between the declaring party and other entities, often to clarify the absence of employment ties and responsibilities. By doing so, it supports the independent entity’s eligibility for different rights and responsibilities under the law.
When you're completing the Oklahoma Exempt Form, it's crucial to approach the process with care to ensure everything is correct and legally compliant. This form is an important document for individuals or businesses seeking exempt status under the Administrative Workers' Compensation Act. To help guide you in this process, here are some dos and don’ts to consider:
By following these guidelines, you can help ensure that your Oklahoma Exempt Form is filled out correctly and complies with the relevant legal requirements. This attention to detail can save you from potential legal and financial complications in the future.
There are several misconceptions about the Oklahoma Exempt form, which may lead to confusion for individuals and businesses trying to navigate the requirements and implications of the affidavit. Understanding these misconceptions is key to ensuring proper compliance with the law.
It's essential for individuals and businesses considering this exemption to carefully review the affidavit requirements and the Exempt Status Fact Sheet. Seeking competent legal advice is recommended to ensure that filing an affidavit is appropriate and beneficial for your particular situation.
Understanding the nuances of the Oklahoma Exempt Form is essential for individuals and businesses navigating the specifics of exemption from workers' compensation under the Administrative Workers' Compensation Act. Here are six key takeaways to guide you through the process:
Completing the Oklahoma Exempt Form with thorough attention to detail and an understanding of the associated obligations is crucial. Inaccuracies or misunderstandings can lead to legal consequences and affect your business's operations. When in doubt, seeking professional legal advice can provide clarity and ensure compliance with Oklahoma's regulations.
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