Affidavit of Exemption for Workers' Compensation Insurance
DIVISION OF WORKERS’ COMPENSATION . AFFIDAVIT OF EXEMPTION FOR WORKERS’ COMPENSATION INSURANCE PURSUANT TO § 287.061, RSMo . Before me, the undersigned authority, personally appeared . Name of Affiant . who, being duly sworn on this oath states as follows: 1. My name is . I am of legal age and sound mind, capable of making this ................
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