Please rate Form 13L 50 11-2022
The applicant or licensee certifies under penalty of perjury that he or she does not employ anyone in a manner that is subject to the workers' compensation laws of California.
Do not submit this form if: you have an inactive license, the license qualifier is a Responsible Managing Employee (RME), or you have employees.
Classifications: do not submit it if you hold or are applying for a license in C-8, C-20, C-22, C-39, or C-61/D-49.
Employing: as soon as you employ anyone subject to California's workers' compensation laws, you must obtain a Certificate of Workers' Compensation Insurance.
Certificate: submit that certificate to CSLB within 90 days of its effective date.
| Question | Answer |
|---|---|
| Form Name | Form 13L-50 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 17 |
| Avg. time to fill out | 3 min |
| Edition | 11/2022 |
| Where to send | Contractors State License Board, P.O. Box 26000, Sacramento, CA 95826 |
| Who signs | The contractor (owner, partner, officer, manager, member, or director) |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | 13L-50, 13L50, 13L 50, Form 13L-50, CSLB 13L-50, Exemption from Workers' Compensation, CSLB workers comp exemption form |
| Official source | Form 13L-50 (Rev 11/2022), Contractors State License Board |
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Please rate Form 13L 50 11-2022
