Corporate Officer Option Notice

Document Number:  WKC-7602

Description:  This form is used by a closely held corporation having no more than two corporate officers and no other employees that elects not to be covered by the Wisconsin Worker's Compensation Act by completing and filing the form with the WC division.

Comments:  This form is not fill-enabled. It can be printed and completed by hand.

Content Contact:  Lynn Weinberger

Document Attachments:

WKC-7602 (Print Version - Word/40 KB)

WKC-7602 (Print Version - pdf/18 KB)

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