Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers

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Title	Cancellation of Elective Coverage - Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers (159 KB PDF)
Description	Used by an employer to cancel workers' compensation coverage for Sole Proprietors/Partner, Member of Limited Liability Company (LLC), Member of Limited Liability Partnership (LLP) or For-Profit Corporate Officers.
Detail
Form number	F213-004-000
Availability	Order it
Keywords	cancel, industrial insurance, insurance coverage, insurance reporting, worker's compensation, workers compensation
Languages	English
Valid dates	07-Year
Contact information	Managing Injured Workers' Claims
Related information
Documents	Application for Elective Coverage - Sole Proprietor, Partners, For-Profit Corporate Officers, or Member/Managers of Limited Liability Company (LLC) Application for Exclusion/Inclusion - Mandatory Coverage (Family Farm)
Web pages	Insurance for Business