The Division of Workers' Compensation offers a Notice of Election to be Exempt system for individuals to apply for or renew a Certificate of Election to be Exempt electronically and, if the applicant is engaged in the construction industry, to submit electronic payment of the exemption fee. Payment can be submitted using Visa, Mastercard, or E-Check. The system is convenient and easy to use. If at any time you need assistance with the DWC Notice of Election to be Exempt system, you may contact the Division’s Customer Service Unit at (850) 413-1609 or email at firstname.lastname@example.org.
Note: Your computer must utilize Internet Explorer 8 or higher. Additionally, to print a Certificate of Election to be Exempt, you must first complete and submit a Notice of Election to be Exempt by utilizing the web-based system, and your computer must have: 1. Pop-up blockers turned off 2. Adobe Reader installed.
|DWC-250||Notice of Election to be Exempt|
|DWC 250-R||Revocation of Election to be Exempt|
|DWC 251||Notice of Election of Coverage|
|DWC 251-R||Revocation of Election of Coverage|