The Workers Comp Exemption Certificate is required when an organization in England and Wales qualifies for exemption from mandatory workers' compensation insurance requirements. This document is typically used by public bodies, certain family businesses, and other qualifying organizations as defined by the Employers' Liability (Compulsory Insurance) Act 1969 and related regulations. The certificate confirms the organization's exempt status, specifies the grounds for exemption, and includes relevant supporting information to demonstrate compliance with exemption criteria.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Your data doesn't train Genie's AI
You keep IP ownership of your docs
1. Business Information: Legal name, registration number, and address of the business seeking exemption
2. Exemption Category: Specific category under which exemption is claimed (e.g., public organization, health service body, family business)
3. Legal Basis: Reference to relevant legislation under which exemption is claimed (Employers' Liability Act 1969 and related regulations)
4. Declaration: Formal statement confirming eligibility for exemption and accuracy of information provided
5. Duration and Validity: Period for which the exemption certificate is valid and any conditions affecting validity
6. Signature Block: Area for authorized signatory, position, and date of signing
1. Employee Count Declaration: Required when exemption depends on number of employees or employment structure
2. Family Business Statement: Required for family businesses, detailing ownership structure and familial relationships
3. Public Body Classification: Required for public organizations, specifying type of public body and statutory basis
4. Health Service Body Details: Required for NHS and related organizations, specifying statutory status
1. Schedule 1 - Supporting Documentation: List of attached documents evidencing eligibility for exemption
2. Schedule 2 - Employee Information: Details of relevant employees and their status (particularly for family business exemptions)
3. Schedule 3 - Statutory References: Detailed references to relevant sections of applicable legislation and regulations
Find the exact document you need
Medicaid Self Pay Agreement
An English and Welsh law agreement governing private healthcare payment arrangements between provider and patient.
Download
Health Shield Claim Form
A standardized form used in England and Wales for submitting health insurance claims and requesting reimbursement for medical expenses.
Download
Workers Comp Exclusion Form
A legal document used in England and Wales to formally exclude specific workers from standard workers compensation coverage, subject to statutory requirements.
Download
Gap Insurance Cancellation Form
An FCA-compliant form under English and Welsh law for cancelling gap insurance policies.
Download
1099 Workers Comp Waiver
A legal document under English and Welsh law where an independent contractor waives workers' compensation coverage from the hiring company.
Download
Insurance Opt Out Form
A legal form under English and Welsh law enabling individuals to formally decline specific insurance coverage.
Download
General Liability Form
A legal document governed by English and Welsh law that establishes liability terms and conditions between business parties.
Download
Workers Compensation Waiver Form
A legal document under English and Welsh law allowing workers to waive specific non-statutory compensation benefits while preserving mandatory protections.
Download
Workers Comp Affidavit
A sworn legal document under English and Welsh law confirming an employer's compliance with workers' compensation and liability insurance requirements.
Download
Insurance Certificate Of Liability
A formal document under English and Welsh law evidencing liability insurance coverage and its key terms.
Download
Workers Comp Exemption Certificate
A legal document confirming an organization's exemption from workers' compensation insurance requirements under English and Welsh law.
Download
Health Waiver Form
A legal document under English and Welsh law that establishes risk acknowledgment and consent for health-related activities or treatments.
Download
Driver Exclusion Form
A legal document used in England and Wales to formally exclude specific individuals from motor insurance coverage.
Download
Workers Compensation Waiver
A legal document under English and Welsh law defining agreed terms for workplace injury compensation claims, while preserving statutory protections.
Download
Pet Insurance Claim Form
A standardized form used in England and Wales for submitting pet insurance claims and requesting reimbursement for covered veterinary expenses.
Download
Health Insurance Waiver Form
A legal document under English and Welsh law enabling individuals to formally decline offered health insurance coverage.
Download
Group Insurance Form
A legally binding document under English and Welsh law establishing terms for group insurance coverage and related obligations.
Download
Insurance Cancellation Form
A formal document under English and Welsh law for requesting the termination of an insurance policy.
Download
Insurance Declaration Form
A legal document under English and Welsh law used to collect and verify information for insurance coverage purposes.
Download
Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it