Filliable Form 14 0061 – Fill Out and Use This PDF

Filliable Form 14 0061 PDF Details

The 14 0061 form plays a pivotal role for corporate officers in Iowa, addressing the specific provisions under Iowa Code section 87.22 that allow certain corporate officers to opt out of workers' compensation or employers' liability coverage. Designed to enable the president, vice president, secretary, and treasurer of corporations—excluding those of family farm corporations, with a cap of four officers—to voluntarily exclude themselves from the said coverage, it necessitates a conscious and voluntary rejection by these officers. This is executed through signing a written rejection that is either attached to the workers’ compensation or employers’ liability policy or, in the absence of such a policy, filed with the workers' compensation commissioner after being witnessed by two disinterested individuals not affiliated with the corporation. The form explicitly clarifies that this rejection does not equate to waiving other legal rights or remedies that may be pursued in civil actions related to personal injuries incurred in the course of employment. Officers are provided with a choice to reject employers’ liability coverage specifically, with instructions to check one of two alternatives to indicate their decision. The document further outlines the process for the termination of this rejection, requiring a written notice of termination to also be duly witnessed and filed with the commissioner, emphasizing that such rejections cannot be mandated as a condition of employment. Needless to say, this form embodies a critical legal instrument for corporate officers in Iowa, delineating the steps and understanding necessary to waive statutory workers' compensation or employers’ liability coverage in a structured and legally recognized manner, while maintaining the integrity of their rights to pursue other forms of legal redress.