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Workers Compensation Exemption Form
"I need a Workers Compensation Exemption Form for my self-employed consulting business in Geneva, Switzerland, as I already have comprehensive private insurance coverage through AXA Insurance that will be effective from March 1, 2025."
1. Personal Information: Details of the individual or entity requesting exemption, including full name, date of birth, social security number, and contact information
2. Employment Status: Declaration of employment status (e.g., self-employed, director, specific category of worker) that forms the basis for the exemption request
3. Business Details: Information about the business including registration numbers, industry sector, and nature of work activities
4. Insurance Status: Current insurance arrangements and details of alternative coverage if applicable
5. Legal Basis for Exemption: Citation of specific legal provisions under which the exemption is being requested
6. Declaration: Formal statement confirming the accuracy of provided information and understanding of implications
7. Signature Block: Space for date, signature, and official stamps where required
1. Alternative Insurance Arrangements: Details of private insurance or other coverage arrangements, required when the applicant has alternative insurance in place
2. Multiple Business Activities: Additional section for individuals involved in multiple business activities or holding multiple positions
3. Foreign Insurance Coverage: Required for cross-border workers or those with insurance coverage from another country
4. Risk Assessment: Detailed assessment of occupational risks and mitigation measures, required for high-risk industries
5. Employee Statement: Required when the exemption affects other employees or workplace arrangements
1. Proof of Identity: Copies of identification documents and business registration certificates
2. Insurance Certificates: Documentation of existing or alternative insurance coverage
3. Risk Documentation: Supporting documents regarding workplace safety measures and risk management
4. Financial Statement: Evidence of financial capacity to self-insure or maintain alternative coverage
5. Authority Documentation: Powers of attorney or other authorization documents if form is submitted by a representative
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