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Request a Copy - Exemption Registry

Who Can File Here

  • Construction services providers who have an active Workers’ Compensation Exemption Registration can obtain a copy of their exemption registration here (credit card required).

How You Can File Here

  • E-File a Request for a Copy of your Workers' Compensation Exemption Registration (credit card required) and pay fees (includes convenience fee) online.
  • If you prefer to mail in a copy request, please use form SS-4525.

Have Questions?


Request for Copies Requirements

  • The Registration Control Number of the Exemption Registration you are requesting a copy of.
  • The registration applicant's name, birth date and the last 4 digits of the Social Security Number. This information is required to securely identify the Workers' Compensation Exemption Registration.
  • Copy fee $20.00 (Additional fees include a convenience fee of $2.25).

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What You'll Need to Request a Copy