Wilton, NY · Saratoga County
Affidavit of Exemption for Workers’ Compensation Coverage (BP-1)
This affidavit lets qualifying owners of one- to four-family, owner-occupied residences claim an exemption when applying for a building permit.
What this form is
Homeowners listed as the general contractor on a building permit may file this affidavit if they perform all the work, do not pay anyone to do or help with the work, or meet the form’s homeowner’s insurance and under-40-hours-per-week conditions. It asks for the homeowner’s certification, the applicable exemption reason, signature, date, telephone number, printed name, and property address. The form says it cannot waive anyone’s workers’ compensation rights or obligations.
Who needs it
A homeowner listed as general contractor for a one- to four-family, owner-occupied residence may file this when applying for a building permit if an exemption condition applies.
How to submit it
File Form BP-1 with the government entity issuing the building permit, as stated in the document. The form provides no specific address, email, portal, or fee.
About notarization
This document is signed and dated without a notary; its text includes a certification under penalty of perjury and says it serves as an exemption once notarized.
How to submit this form
- 1
Download The BP-1
Download the workers’ compensation exemption affidavit.
- 2
Complete The Form
Provide the homeowner’s information, property address, signature, date, and applicable exemption reason.
- 3
Check The Exemption Conditions
Confirm that one of the form’s listed conditions applies to the owner-occupied residence and building-permit work.
- 4
Submit With The Permit
File Form BP-1 with the government entity issuing the building permit.
Frequently asked questions
- Who can file Form BP-1?
- A homeowner listed as general contractor for a one- to four-family, owner-occupied residence may file if one of the form’s exemption conditions applies.
- Do I need a notary for the BP-1 affidavit?
- No notary block is provided. The text says the form serves as an exemption once notarized and includes a certification under penalty of perjury.
- How do I submit the BP-1 form?
- File it with the government entity issuing the building permit. The document does not give a specific address, email, portal, or fee.