Are you a current or recent college graduate who is starting your career search? If so, you may be wondering what the best way to start is. One important step is completing the WCE 1 form. This form allows you to indicate your education and work experience, as well as your skills and abilities. Completing the form accurately can help you find a job that matches your skills and interests. Here are some tips for completing the WCE 1 form.
You'll discover details about the type of form you would like to complete in the table. It can show you the span of time you'll need to finish wce 1 form, exactly what parts you will need to fill in, and so forth.
|Form Name||Wce 1 Form|
|Form Length||2 pages|
|Avg. time to fill out||30 sec|
|Other names||indiana state form 45899, wce 1 aplication for workers compensation clearence certificate forms, indiana wce1, indiana workers compensation waiver|
APPLICATION FOR WORKER'S COMPENSATION CLEARANCE CERTIFICATE
State Form 45899 (R7 /
Approved by State Board of Accounts, 2015
WORKER'S COMPENSATION BOARD OF INDIANA
* This agency is requesting disclosure of your Social Security Number in accordance with IC
NOTE: A contractor who knowingly or intentionally causes or assists employees, including temporary employees, to file a false statement and supporting documentation of independent contractor status commits a Level 6 felony. IC
INSTRUCTIONS: 1. Please type or print.
2.Payment must be made using a money order or certified check.
3.Mail this completed application and payment to the Indiana Department of Revenue, PO Box 2305, Indianapolis, IN
Name of independent contractor (last, first)
Name of business
Address (number and street, city, state, and ZIP code)
Social Security Number*
Affidavit of exemption number (STATE USE ONLY)
Are you an Indiana resident?
If no, please enter your state of residence
Under the provisions of IC
I am an independent contractor as defined by IC
I am the sole proprietor as defined by IC
Name of sole proprietorship
Social Security Number*
I am a partner in a partnership as defined by IC
Name of partnership
Federal Identification Number
I am a member or manager of a limited liability company as defined by IC
Name of LLC
Federal Identification Number
do not have other employees.
do not have Worker’s Compensation insurance through a private insurance carrier.
Signature of applicant
Date signed (month, day, year)
This affidavit certifies that the above named person is an independent contractor as defined by the indicated provisions of law, that the above named person has worker's compensation or is a qualified
maintain exempt status. This information may be shared with the Internal Revenue Service and/or other states.
FOR STATE USE ONLY
$5.00 Department of Revenue filing fee paid
$15.00 Worker's Compensation Board filing fee paid
Date issued (month, day, year)
Part of State Form 45899
This Application for Certification of Exemption represents a statement by you that you are an independent contractor or otherwise not required to carry Worker's Compensation insurance on yourself under the Worker's Compensation Act of Indiana. The Indiana Department of Revenue may share this information with the Internal Revenue Service (IRS) and /or other states.
The statutes establishing this registration process state that an independent contractor is defined similarly to the IRS tax guidelines for determining independent contractor status. The IRS uses several factors to determine whether an individual is an independent contractor or an employee. Listed below are some of the characteristics of each. If you fail to meet these qualifications, you will not receive certification.
An independent contractor generally:
directs his own work and performs the work in the manner he chooses, without direction from a boss or general contractor;
sets his own hours;
may hire assistants;
provides his own tools and materials;
is paid by the job rather than by the hour;
may make a profit or suffer a loss on a job; and
is free to work for more than one person or firm and to offer his services to the general public.
An employee generally:
is under the control of his employer;
has income taxes withheld from his pay;
must work the hours specified by the employer;
receives pay on an hourly basis;
must perform the work in the manner indicated by the employer;
receives training, tools and equipment provided by the employer;
is not free to offer his services to any persons or firms or to the general public; and
can be fired at any time.
Are you new to the state of Indiana or the United States? If so, you will be required to submit verification of your residency. Some examples include:
valid Indiana Driver's License;
permanent Resident Card (green card);
copy of income tax return from another state;
copy of rental or property tax agreement;
voter's registration card;
Individual Tax Identification Number (ITIN) (resident aliens)
This application for a Certification of Exemption from worker's compensation in Indiana will be processed by verifying your status as an Independent Contractor. The Indiana Department of Revenue will examine your past tax records to determine if you have identified yourself as an independent contractor in past years and are current on your individual tax filings. Failure to comply will result in denial of certification.
Your certification is not valid until the Worker's Compensation Board has stamped it. Mail your application to the Indiana Department of Revenue for processing. Upon approval of both the Department of Revenue and the Worker's Compensation Board, you will receive your validated Certificate of Exemption and a copy of Income Tax Information Bulletin #86 in the mail.
Note: Until/unless you receive a Certificate of Exemption from the Indiana Worker's Compensation Board, you are required to be covered by a Worker's Compensation policy under Indiana law. Even if you are exempt, you must cover any employees of your business.