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Workers Comp Affidavit
"I need a Workers Comp Affidavit for my manufacturing company based in Munich, compliant with German law, to be submitted to a potential US business partner by March 2025; it needs to specifically address our high-risk machinery operations and international employee assignments."
1. Affiant Information: Details of the person making the affidavit, including full legal name, position in the company, and authority to make declarations on behalf of the company
2. Company Information: Complete details of the business entity, including legal name, registration number, registered address, and type of business activity
3. Insurance Coverage Declaration: Specific declaration of current statutory accident insurance coverage, including the name of the insurance carrier (Berufsgenossenschaft) and membership number
4. Employee Coverage Statement: Declaration of the number of employees covered and confirmation that all eligible employees are included in the insurance coverage
5. Compliance Statement: Declaration of compliance with all relevant German workers' compensation laws and regulations, including timely payment of premiums
6. Verification: Formal statement attesting to the truth and accuracy of all declarations made in the affidavit
7. Signature Block: Space for date, signature, and official company stamp (if applicable)
1. International Operations: Additional declarations regarding coverage for employees working across borders or temporarily assigned outside Germany, used when the company has international operations
2. Contractor Statement: Declaration regarding any contractors or subcontractors and their separate insurance coverage, included when the company regularly works with contractors
3. Claims History: Statement regarding previous workers' compensation claims and their resolution, included when specifically requested by authorities or business partners
4. Special Risk Categories: Additional declarations for businesses operating in high-risk industries or with special insurance requirements, used when applicable to the specific industry
1. Insurance Certificate: Current certificate of insurance from the Berufsgenosgenschaft (statutory accident insurance carrier)
2. Employee Census: List of current employees covered by the insurance (if required by the requesting party)
3. Risk Classification Document: Documentation showing the company's risk classification and premium calculation basis
4. Payment Verification: Proof of current premium payments for the statutory accident insurance
Authors
Manufacturing
Construction
Healthcare
Retail
Technology
Transportation
Agriculture
Education
Professional Services
Hospitality
Industrial
Mining
Energy
Financial Services
Public Sector
Human Resources
Legal
Compliance
Finance
Operations
Risk Management
Administration
Payroll
Executive Leadership
Health and Safety
HR Director
Compliance Officer
Legal Counsel
Risk Manager
Chief Financial Officer
Operations Manager
Health and Safety Manager
Human Resources Manager
Benefits Administrator
Payroll Manager
Company Secretary
Managing Director
Chief Executive Officer
Administrative Director
Insurance Coordinator
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