The purpose of filing an exemption is for an officer of a corporation or member of a limited liability company to exclude themselves from the workers' compensation laws. Upon issuance of a Certificate of Election to be Exempt, the officer or member is not an employee and may not recover workers' compensation benefits.
In order to apply for or renew an exemption from workers' compensation law, the exemption applicant must complete and submit a Notice of Election to be Exempt application online to the Florida Division of Workers' Compensation.
Important: The exemption applicant must personally sign the application and attest that he or she has reviewed, understands, and acknowledges the information as stated on the application. Furthermore, any person other than the applicant signing the application may be guilty of a felony of the third degree.
Click on the icon below to view a short video on Exemption Eligibility & Requirements.
For eligibility information and access to the application, please click on the appropriate industry button below.
Please choose one of the following industries to continue:
Not sure of your business classification? Please contact the National Council on Compensation Insurance at 1-800-622-4123.