Document Tag: Employer Coverage Forms

Instructions for Certificate of Verification Form

Instructions for US Forest Service contractors (see "Who Must Complete This Form" in the Instructions.)

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Certificate of Verification Form

Instructions for US Forest Service contractors (see "Who Must Complete This Form" in the instructions.)

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Instructions for IC-53 (Declaration of Exemption)

NOTE: Applies to family members of sole proprietorship ONLY. View the chart which identifies the family relationships eligible for filing an IC-53.

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Declaration of Exemption (IC-53)

Instructions: https://iic.idaho.gov/wp-content/uploads/2018/01/ic_53_declaration_instructions.pdf

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Employer Compliance Questionnaire

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Election of Coverage Form (IC-52)

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Sample – Notice of Insurance Poster

Idaho Code § 72-312 requires employers to post notice of insurance coverage in a conspicuous place in all of their places of business. This is an example poster for the Notice of Insurance required by Idaho Code § 72-312 to be conspicuously posted at their places of business. Contact your insurance adjuster to receive a poster for your business.

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