INSTRUCTIONS FOR COMPLETING NOTICE OF ELECTION TO BE EXEMPT
Only corporate officers or members of a limited liability company (LLC) engaged in the construction industry are eligible for an exemption. Non-
construction LLC members are NOT ELIGIBLE for an exemption.
The Division has 30 days to review your application to determine if it meets the eligibility requirements for the issuance of an exemption. The
Division will either issue a Certificate of Election to be Exempt or notify you by mail that your application is incomplete and what information or
documents are needed to complete the application. The Division reviews and processes exemption applications in the order they are received.
Applicants that are applying to renew a current exemption should submit the application to the Division at least 45 days prior to the expiration date of
their current exemption.
You can visit the Division’s website at http://www.myfloridacfo.com/WC/ and click on the Proof of Coverage icon on the right hand side of the page.
Your exemption information will be reflected on the Proof of Coverage database the day following the issuance of the exemption. The Certificate of
Election to be Exempt will be mailed to the address shown on the application no later than the second business day after issuance. Allow 7-10 days
If your corporation is dissolved or inactive, your Notice of Election to be Exempt will be DENIED. If the Notice of Election to be Exempt is
denied, the applicant must submit a new Notice of Election to be Exempt and, if the applicant is engaged in the construction industry,
another $50.00 fee is required.
An exemption is subject to revocation if the person named on the certificate no longer meets any of the requirements to be eligible for an exemption.
If you have any questions in regards to completing this application, please call the Division’s Customer Service Center at (850) 413-1609 and press
SECTION 1. Print your na