EMPLOYEE'S AFFIDAVIT AND WAIVER OF WORKERS' COMPENSATION BENEFITS Forms
| Form Name | EMPLOYEE'S AFFIDAVIT AND WAIVER OF WORKERS' COMPENSATION BENEFITS |
| Form # | WC-138-3 |
| Form Revision | (07-23) |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Missouri |
| Language | English |
| State Description | The affidavit is to be completed by an employee requesting to be exempt from workers’ compensation due to religious reasons. |
| Claimwire Description | n/a |