Please check appropriate box(s) and provide supporting documentation
Must provide name(s), copy of exemption(s) valid during policy period and copy of officer(s) payroll records
Must provide name(s), copy of officer(s) payroll records
Must provide name(s) and copy of certificate(s)
Must provide name(s), copy of exemption(s)
Must provide name(s), detailed job description and payroll records
Must provide copy of payroll records - Example of payroll records: payroll register, general ledger, payroll journal, etc.
