The Workers Compensation Exemption Form is a crucial document within the Swiss social security and insurance framework. It is utilized when individuals or entities seek to opt out of the mandatory workers' compensation insurance system, as permitted under specific circumstances by Swiss law. This form becomes necessary for self-employed individuals, company directors, or specialized workers who either have alternative insurance arrangements or meet specific criteria for exemption under the Federal Law on Accident Insurance (UVG/LAA). The document requires detailed information about the applicant's business activities, current insurance status, and alternative coverage arrangements. It must comply with both federal and cantonal requirements, and submission typically involves review by relevant authorities, including SUVA (Swiss National Accident Insurance Fund) or cantonal bodies. The form serves as a legal record of the exemption request and includes necessary declarations and acknowledgments of the implications of operating outside the standard insurance framework.
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1. Personal Information: Details of the individual or entity requesting exemption, including full name, date of birth, social security number, and contact information
2. Employment Status: Declaration of employment status (e.g., self-employed, director, specific category of worker) that forms the basis for the exemption request
3. Business Details: Information about the business including registration numbers, industry sector, and nature of work activities
4. Insurance Status: Current insurance arrangements and details of alternative coverage if applicable
5. Legal Basis for Exemption: Citation of specific legal provisions under which the exemption is being requested
6. Declaration: Formal statement confirming the accuracy of provided information and understanding of implications
7. Signature Block: Space for date, signature, and official stamps where required
1. Alternative Insurance Arrangements: Details of private insurance or other coverage arrangements, required when the applicant has alternative insurance in place
2. Multiple Business Activities: Additional section for individuals involved in multiple business activities or holding multiple positions
3. Foreign Insurance Coverage: Required for cross-border workers or those with insurance coverage from another country
4. Risk Assessment: Detailed assessment of occupational risks and mitigation measures, required for high-risk industries
5. Employee Statement: Required when the exemption affects other employees or workplace arrangements
1. Proof of Identity: Copies of identification documents and business registration certificates
2. Insurance Certificates: Documentation of existing or alternative insurance coverage
3. Risk Documentation: Supporting documents regarding workplace safety measures and risk management
4. Financial Statement: Evidence of financial capacity to self-insure or maintain alternative coverage
5. Authority Documentation: Powers of attorney or other authorization documents if form is submitted by a representative
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