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Workers Compensation Waiver Form
"I need a Workers Compensation Waiver Form for my Vancouver-based construction company to use with independent contractors starting March 2025, compliant with British Columbia regulations and including specific clauses about high-risk construction activities."
1. Parties: Identification of the employer and employee, including full legal names, addresses, and relevant identification numbers
2. Background: Context of the employment relationship and purpose of the waiver
3. Definitions: Key terms used in the waiver, including 'Workers Compensation', 'Claims', 'Benefits', and any jurisdiction-specific terminology
4. Acknowledgment of Rights: Statement confirming the employee understands their workers' compensation rights under applicable law
5. Waiver Declaration: Explicit statement of what rights are being waived and the scope of the waiver
6. Voluntary Agreement: Confirmation that the employee is entering into the waiver voluntarily and without coercion
7. Alternative Coverage: Description of any alternative insurance or compensation arrangements provided by the employer
8. Governing Law: Specification of the provincial/territorial jurisdiction governing the waiver
9. Signature Block: Space for dated signatures of employee, employer, and witness(es)
1. Independent Contractor Status: Section confirming independent contractor status when the waiver is being used for non-employee workers
2. Specific Risk Acknowledgment: Detailed acknowledgment of specific workplace risks when the work involves unusual or heightened risks
3. Translation Declaration: Statement confirming the form has been translated and explained in another language, if applicable
4. Regulatory Compliance: Additional compliance statements required by specific provincial regulations
5. Revocation Terms: Terms under which the waiver can be revoked, if applicable under local law
1. Schedule A - Job Description: Detailed description of work duties and activities covered by the waiver
2. Schedule B - Alternative Insurance Details: Specifics of alternative insurance coverage provided by the employer
3. Appendix 1 - Risk Assessment: Documentation of specific workplace risks and safety measures in place
Authors
Construction
Manufacturing
Professional Services
Technology
Energy
Mining
Transportation
Agriculture
Healthcare
Entertainment
Consulting
Real Estate
Industrial Services
Human Resources
Legal
Risk Management
Compliance
Operations
Health and Safety
Administration
Project Management
Procurement
Employee Relations
Independent Contractor
Consultant
Project Manager
Construction Worker
Professional Services Provider
Skilled Tradesperson
Site Supervisor
Technical Specialist
Healthcare Professional
Entertainment Professional
Freelance Professional
Equipment Operator
Safety Coordinator
Risk Manager
Compliance Officer
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