tiktok成人版

Workers Comp Exemption Certificate Template for Indonesia

Create a bespoke document in minutes, 聽or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Workers Comp Exemption Certificate

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership聽of your information

Key Requirements PROMPT example:

Workers Comp Exemption Certificate

"I need a Workers Comp Exemption Certificate for our new senior software engineer from Singapore who already has comprehensive international health and accident coverage through their existing insurer, with the certificate to be effective from March 1, 2025."

Document background
The Workers Comp Exemption Certificate serves as an official document under Indonesian labor law, specifically designed for situations where workers seek exemption from the mandatory national workers' compensation insurance scheme. This certificate is typically required when employees have alternative insurance arrangements, special employment status, or fall under specific exemption categories defined by Indonesian regulations. The document must comply with requirements set forth by BPJS Ketenagakerjaan (the Social Security Administrator) and the Ministry of Manpower, containing comprehensive details about the worker's identity, employment status, and basis for exemption. It's particularly relevant for international workers, specialized professionals, or employees with existing comprehensive insurance coverage. The certificate must be properly documented and maintained to ensure ongoing compliance with Indonesian labor laws and social security regulations.
Suggested Sections

1. Certificate Number and Date: Unique identifier for the certificate and date of issuance

2. Worker Information: Full legal name, national ID number (NIK), date of birth, and current residential address of the worker

3. Employment Details: Current employer information, position/role, and duration of employment

4. Basis for Exemption: Legal grounds for seeking exemption from workers' compensation insurance under Indonesian law

5. Declaration: Worker's formal declaration confirming the accuracy of information provided and understanding of legal implications

6. Certification: Official certification statement and validity period of the exemption

Optional Sections

1. Alternative Insurance Coverage: Details of any alternative insurance coverage held by the worker, used when exemption is based on existing coverage

2. Previous Exemptions: Information about any previous exemption certificates, included when the worker has held exemptions before

3. Special Circumstances: Description of any unique circumstances supporting the exemption request, included when standard exemption criteria don't fully apply

Suggested Schedules

1. Appendix A - Identity Documents: Copies of worker's identity documents including national ID card and employment documentation

2. Appendix B - Employment Verification: Letter from current employer confirming employment status and terms

3. Appendix C - Supporting Documentation: Additional documents supporting the exemption claim (e.g., alternative insurance policies, previous exemption certificates)

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




















Clauses















Relevant Industries

Manufacturing

Construction

Technology

Professional Services

Education

Healthcare

Mining

Oil and Gas

Financial Services

International Trade

Consulting

Hospitality

Relevant Teams

Human Resources

Legal

Compliance

Risk Management

Global Mobility

Administration

Benefits Administration

International Operations

Relevant Roles

Human Resources Manager

Compliance Officer

Legal Counsel

Risk Manager

HR Administrator

Benefits Coordinator

International Employment Specialist

Compensation and Benefits Manager

HR Director

Legal Manager

Employment Law Specialist

Global Mobility Manager

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Personal Accident Claim Form

An Indonesian-compliant Personal Accident Claim Form for filing insurance claims related to personal accidents, adhering to OJK regulations.

find out more

Professional Indemnity Proposal Form

An OJK-compliant professional indemnity insurance proposal form for professional service providers in Indonesia, designed to assess risks and coverage requirements.

find out more

Medical Insurance Claim Form

An Indonesian-compliant medical insurance claim form for processing healthcare expense reimbursements, aligned with national insurance and healthcare regulations.

find out more

Insurance Claim Form

An Indonesian-compliant Insurance Claim Form that facilitates the submission and processing of insurance claims under OJK regulations.

find out more

Health Insurance Waiver

An Indonesian legal document allowing individuals to decline supplementary health insurance while maintaining mandatory BPJS coverage.

find out more

Insurance Waiver

An Insurance Waiver document compliant with Indonesian insurance laws and OJK regulations, enabling the formal waiver of insurance rights or benefits.

find out more

Accident Claim Form

An Indonesian-compliant insurance claim form for reporting and processing accident-related claims under Indonesian insurance law and OJK regulations.

find out more

Medical Claim Form

An Indonesian-compliant form for submitting medical expense reimbursement claims to insurance providers or BPJS Kesehatan, facilitating the processing of healthcare expense claims.

find out more

Insurance Reimbursement Form

An Indonesian-compliant insurance reimbursement claim form for requesting compensation for medical expenses, aligned with OJK regulations and local insurance laws.

find out more

Motor Claim Form

An Indonesian-compliant motor vehicle insurance claim form used to initiate and process insurance claims for vehicle-related incidents under Indonesian law.

find out more

Insurance Verification Form

An Indonesian-compliant formal document used to verify and confirm insurance coverage details, meeting OJK regulatory requirements.

find out more

Car Insurance Form

An Indonesian-compliant car insurance form establishing coverage terms and conditions between insurer and policyholder under Indonesian insurance regulations.

find out more

Travel Insurance Form

An Indonesian-compliant travel insurance form outlining coverage terms, conditions, and claims procedures under OJK regulations.

find out more

Expired Medicare Card Renewal Form

An Indonesian administrative form for renewing expired Medicare/BPJS Healthcare cards under Indonesian healthcare regulations.

find out more

Waiver Of Subrogation General Liability

An Indonesian law-compliant agreement where an insurer waives its right to recover paid claims from third parties under general liability insurance.

find out more

General Liability Form

An Indonesian law-governed document that establishes liability terms, limitations, and indemnification obligations between business parties.

find out more

Insurance Certificate Of Liability

An Indonesian Insurance Certificate of Liability document that provides proof of liability insurance coverage, compliant with OJK regulations and Indonesian insurance law.

find out more

Workers Comp Exemption Certificate

An Indonesian legal document certifying a worker's exemption from mandatory national workers' compensation insurance requirements under BPJS Ketenagakerjaan regulations.

find out more

Health Waiver Form

An Indonesian-compliant healthcare waiver document establishing informed consent and liability terms between healthcare providers and patients.

find out more

Workers Compensation Waiver

An Indonesian law-compliant document outlining an employee's waiver of certain workers' compensation rights while preserving mandatory statutory benefits.

find out more

Waiver Of Subrogation Form

An Indonesian law-compliant document where an insurer waives its right to recover paid claims from third parties, structured under Insurance Law No. 40 of 2014.

find out more

Health Insurance Waiver Form

An Indonesian legal document for formally declining health insurance coverage, compliant with national healthcare regulations and BPJS requirements.

find out more

Group Insurance Form

An Indonesian legal document establishing group insurance coverage between an insurer and an organization, outlining coverage terms, premiums, and claims procedures in compliance with Indonesian insurance regulations.

find out more

Insurance Proposal Form

An Indonesian law-compliant document used to collect essential information for insurance policy issuance, meeting OJK regulatory requirements.

find out more

Insurance Declaration Form

An Indonesian-law compliant Insurance Declaration Form capturing essential policyholder information and risk declarations for insurance coverage assessment.

find out more

Insurance Affidavit

A notarized sworn statement used in Indonesian insurance proceedings that provides legally binding declarations regarding insurance-related matters.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research
Oops! Something went wrong while submitting the form.

骋别苍颈别鈥檚 Security Promise

Genie is the safest place to draft. Here鈥檚 how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; 骋别苍颈别鈥檚 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

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a 拢1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.