Iowa Workers Compensation Corp Officer Exclusion from WC or Employers Liability Coverage

Form #:IA-WC-14-0061
Iowa form for an exclusion from or rejection of workers compensation or employer's liability coverage for a corporate officer. The form is completed by the corporate officer. The employer may not require this exclusion or rejection as a condition of employment.

Name:Iowa Workers Compensation Corp Officer Exclusion from WC or Employers Liability Coverage
Form Number: IA-WC-14-0061
State:Iowa
Statute:
Form Category:Workers' Compensation

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