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1. Parties: Identification of the sole proprietor and their business details, including business registration number and BPJS registration number
2. Background: Context explaining the purpose of the waiver and the sole proprietor's right to elect exemption from workers' compensation coverage
3. Definitions: Key terms used in the document, including relevant Indonesian legal terminology and BPJS-related terms
4. Declaration of Business Status: Formal declaration confirming sole proprietorship status and absence of employees
5. Waiver Statement: Explicit statement waiving workers' compensation coverage and accepting associated risks
6. Acknowledgment of Rights: Confirmation that the sole proprietor understands their rights and the implications of waiving coverage
7. Duration and Validity: Period for which the waiver is valid and conditions for renewal or termination
8. Legal Compliance: Statement of compliance with Indonesian laws and BPJS regulations
9. Execution: Signature block and notarization requirements
1. Alternative Insurance Arrangements: Details of any private insurance coverage being maintained in lieu of BPJS coverage - include when the sole proprietor has alternative insurance
2. Project-Specific Details: Specific project or contract information - include when the waiver is required for a particular project or contract
3. Revocation Process: Process for revoking the waiver - include when specifically requested by either party
4. Risk Assessment: Detailed assessment of risks associated with waiving coverage - include for high-risk industries
1. Schedule A - Business Documentation: Copies of business registration certificates and BPJS registration documents
2. Schedule B - Risk Declaration Form: Standard form acknowledging understanding of risks associated with waiving coverage
3. Schedule C - Alternative Insurance Details: Documentation of any alternative insurance coverage (if applicable)
4. Appendix 1 - Statutory Declaration: Official declaration form required by Indonesian authorities
5. Appendix 2 - Legal Requirements Checklist: Checklist confirming compliance with all legal requirements for waiver
Construction
Information Technology
Professional Services
Consulting
Retail
Food and Beverage
Transportation
Maintenance Services
Creative Industries
Real Estate
Agriculture
Manufacturing
Legal
Human Resources
Procurement
Compliance
Risk Management
Contract Administration
Vendor Management
Project Management
Sole Proprietor
Independent Contractor
Freelancer
Business Owner
Self-Employed Professional
Contract Manager
Legal Compliance Officer
HR Manager
Risk Manager
Procurement Manager
Project Manager
Business Development Manager
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