Application for Independent Contractor Status
| WCB 260 |
Application for Predetermination of Independent Contractor
Status to Establish Conclusive Presumption - Landowner/Woodharvester (Word
97) |
| WCB 260 |
Application for Predetermination of Independent Contractor Status
to Establish Conclusive Presumption - Landowner/Woodharvester (PDF) |
| WCB 261 |
Application for Predetermination of Independent Contractor Status
to Establish Rebuttable Presumption (Word 97) |
| WCB 261 |
Application for Predetermination of Independent Contractor Status
to Establish Rebuttable Presumption (PDF) |
| WCB 262 |
Application for a Certificate of Independent Status (Word 97) |
| WCB 262 |
Application for a Certificate of Independent Status (PDF) |
WCB-264 |
Application for Predetermination of Construction Subcontractor to Establish a Rebuttable Presumption (RTF) |
| WCB-264 |
Application for Predetermination of Construction Subcontractor to Establish a Rebuttable Presumption (PDF) |
| WCB-265 |
**NEW Effective 9/28/2011**Application for Predetermination_Freight Courrier (PDF) |
| WCB-265 |
**NEW Effective 9/28/2011**Application for Predetermination_Freight Courrier (RTF) |
| WCB-266 |
**NEW Effective 9/28/2011**Freight Courrier Predetermination Certification Statment (PDF) |
| WCB-266 |
**NEW Effective 9/28/2011**Freight Courrier Predetermination Certification Statment (RTF) |
For more information regarding the Insurance Coverage Unit, please
contact Bernie Bean at
(207) 287-7071.
