Wilbraham, MA · Hampden County
Business Certificate and Workers’ Compensation Insurance Affidavit
This two-page packet combines Wilbraham’s Business Certificate with a Workers’ Compensation Insurance Affidavit for businesses and applicants filing with the town or another permitting authority.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The Business Certificate records the business title, location, contact details, and names and signatures of the people conducting the business. The packet also includes a Workers’ Compensation Insurance Affidavit for applicants to file with the permitting authority, with sections about employer status, business type, and insurance policy information. The certificate says it is effective for four years and notes that it does not authorize a business at premises where zoning bylaws prohibit it.
Who needs it
People conducting a business under a business title in Wilbraham can use the certificate, while applicants filing with a permitting authority complete the workers’ compensation affidavit.
Why it needs a notary
The Business Certificate has an acknowledgment and oath before a notary public or town clerk; the named signers sign and swear that the information is true.
How to get this notarized
- 1
Download the Form
Download the two-page Business Certificate and Workers’ Compensation Insurance Affidavit packet.
- 2
Fill In the Information
Complete the business details and applicable workers’ compensation affidavit fields.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary for the Business Certificate’s notarial block.
- 4
Sign on Video
Sign the Business Certificate during the remote notary session and take the oath.
- 5
Submit to the Town
Submit the completed documents to the appropriate city or town office or permitting authority.
Preview the form
The blank PDF straight from Wilbraham. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Business Certificate?
- Fill in the business and signer information, then sign the certificate before a notary public or town clerk. Complete the separate workers’ compensation affidavit as applicable.
- Do I need to notarize both documents?
- The Business Certificate includes a notary or town clerk acknowledgment and oath. The Workers’ Compensation Insurance Affidavit has a certification under pains and penalties of perjury, but no notary block is shown.
- Can I use a commissioned online notary?
- Massachusetts permanently authorized remote online notarization for its own notaries effective January 1, 2024. Ask the receiving office whether it accepts a remotely notarized certificate; confirm with the city or town clerk if unsure.
- Where do I file the Workers’ Compensation Insurance Affidavit?
- The form says the affidavit is to be filed with the permitting authority. It includes fields for the city or town and the issuing authority.