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The Office of Small Business Advocate

The Office of Small Business Advocate serves as a point of contact to state government for owners of businesses with fifty (50) or fewer employees. The Office of Small Business Advocate is located within the Comptroller of the Treasury.

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Business Services Home > Workers' Compensation Exemption Registry >

Workers' Compensation Exemption Registration Forms & Frequently Asked Questions

On January 1, 2013 revisions in the Workers’ Compensation Exemption Registry law went into effect. Our forms have been updated accordingly. After clicking into a WCER form, please refresh your browser (F5) to ensure that you are accessing the most current version of the form.

Frequently Asked Questions
Initial Workers' Compensation Exemption Registration Application Form (ss-4523)
Change Of Address Form (ss-4524)
Request For Copy Of Registration Notice (ss-4525)
Applicant Correction Form (ss-4526)
Initial Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)
Initial Workers' Compensation Exemption Registration Renewal Form (ss-4528)
Voluntary Revocation Form (ss-4529)
Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)
Subsequentl Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)
Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)