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Home > Insurance Coverage > Independent Contractor

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)

 

For more information regarding the Insurance Coverage Unit, please contact Linda Larrabee at (207) 287-7071.