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2. The Commonwealth of Massachusetts
   Department of Industrial Accidents
   Office of Investigations
   600 Washington St.
   Boston, MA 02111
   Ph: 617-727-4900, ext. 406
   Ph: 877-MASSAFE
   Fx: 617-727-7749
   www.mass.gov/dia
4. Applicant Information
6. Business / Organization Name
7. Phone Number
9. Physical Address
10. Mailing Address
12. City
13. State
14. Zip
16. Are you an employer?

    1. I am an employer.*
    2. I am a sole proprietor or partnership and have no employees working for me in any capacity. (No workers' compensation insurance required)
    3. We are a corporation and its officers have exercised their right of exemption per c. 152, Section 1(4), and we have no employees. (No workers' compensation insurance required)**
    4. We are a non-profit organization, staffed by volunteers, with no employees. (No workers' compensation insurance required)

    *Any applicant that chooses employer must also fill out the section for workers' compensation policy information.
    **If the corporate officers have exempted themselves, but the corporation has other employees, a workers' compensation policy is required and such an organization should choose the employer option.
18. How many full and part time employees?
20. Business Type

    1. Entertainment
    2. Health Care
    3. Manufacturing
    4. Non-Profit
    5. Office and/or Sales (including real estate, auto, etc.)
    6. Restaurant / Bar / Eating Establishment
    7. Retail
    8. Other
22. Explain
26. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy information.
28. Insurance Company Name
30. Physical Address
31. Mailing Address
33. City
34. State
35. Zip
37. Policy Number or Self-Insurance License Number
38. Date
    Date
40. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
    Failure to secure coverage as required under Section25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500 and/or 1-year imprisonment, as well as civil penalties in the form of a Stop Work Order and a fine of up to $250 a day against the violator. be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification.
44. I do hereby certify, under the pains and penalties of perjury that the information provided above is true and correct.
46. Signature
47. Date
    Date
49. Phone Number
54. Information & Instructions
    Massachusetts General Laws chapter 152 requires all employers to provide workers’ compensation for their employees. Pursuant to this statute, an employee is defined as “...every person in the service of another under any contract of hire, express or implied, oral or written.”
    
    An employer is defined. as “an individual, partnership, association, corporation or other legal entity, or any two or more of the -foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However, the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.”
    
    MGL chapter 152, §25C(6) also states that “every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required.“ Additionally, MGL chapter 152, §25C(7) states “Neither the commonwealth. nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.”
56. Applicants

    Please fill out the workers’ compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply your insurance company’s name, address, and phone number along with a certificate of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the members or partners, are not required to carry workers’ compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers’ compensation policy, please call the Department. Self-insured companies should enter their self-insurance license number on the appropriate line.

58. City or Town Officials
    Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to till in the permit / license number which will be used as a reference number. In addition, an applicant that must submit multiple permit / license applications in any given year, need only submit one affidavit indicating current policy information (if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
    
    The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call.
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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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