Morristown, NY · St. Lawrence County
Affidavit of Exemption for Workers’ Compensation Proof
This affidavit lets an owner of a one- to four-family, owner-occupied residence explain why workers’ compensation proof is not required for work covered by a building permit.
- 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
A homeowner uses this affidavit to state why they are exempt from showing specific proof of workers’ compensation insurance for work covered by a building permit. The form offers three explanations: the owner is doing all the work, no one is being paid, or a current homeowners policy is in effect and paid work is under 40 aggregate hours per week. It also describes coverage or contractor-proof commitments if paid work reaches 40 or more aggregate hours per week.
Who needs it
The homeowner applying for a building permit for a one- to four-family, owner-occupied residence may use this affidavit to explain an exemption from workers’ compensation proof.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit of Exemption for Workers’ Compensation Proof from the Town of Morristown.
- 2
Complete the Form
Enter the homeowner and property information, then check the exemption explanation that applies.
- 3
Book an Online Notary
Schedule a video appointment with a commissioned online notary.
- 4
Sign During the Video Session
Wait to sign until the notary instructs you during the online session.
- 5
Submit to the Town
Submit the notarized affidavit with your building permit materials as directed by the issuing government entity.
Preview the form
The blank PDF straight from Morristown. 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 and notarize this affidavit?
- Select the exemption that matches your situation, provide the requested homeowner and property details, and sign during a video session with a commissioned online notary.
- Do I need to sign this form in front of a notary?
- Yes. The form ends with a “Sworn to before me” statement and a Notary Public signature block, so the homeowner should sign before the notary.
- Can I use an online notary for this affidavit?
- New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. A commissioned online notary can notarize the homeowner’s sworn statement.
- Where do I submit the completed affidavit?
- The form refers to the government entity issuing the building permit. Submit it as directed with your building permit materials; confirm with the city, town or village if unsure.
Other forms in Morristown
Affidavit of Exemption for Workers’ Compensation Proof in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.