Pryor Creek, OK · Mayes County
Affidavit of Exempt Status
This two-page affidavit and fact sheet lets an independent contractor request exempt status under the Workers’ Compensation Act; the contractor completes it and gives the signed form to their general contractor.
- 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 affidavit records an independent contractor’s statements about their work, exempt status, and workers’ compensation coverage, while the attached fact sheet helps assess whether the contractor is independent. The form says it is to be signed and notarized at the start of a job or project and is valid for that project, or similar work for the contractor, for one year from notarization. The signed form is given to the general contractor.
Who needs it
An independent contractor who wants a contractor’s policyholder to consider their business exempt must complete the affidavit and attached fact sheet.
How to get this notarized
- 1
Download the Form
Get the Affidavit of Exempt Status and Exempt Status Fact Sheet.
- 2
Complete Both Sides
Fill out the affidavit and fact sheet, including the independent contractor’s details and answers.
- 3
Book an Online Notary
Arrange an online notary appointment before signing the affidavit.
- 4
Sign on Video
Sign and swear to the affidavit before the notary during the online appointment.
- 5
Give It to Your Contractor
Provide the signed form to your general contractor as instructed on the form.
Preview the form
The blank PDF straight from Pryor Creek. 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 Affidavit of Exempt Status?
- Complete both sides, including the affidavit and fact sheet, then sign the affidavit before a notary. The form says to give the signed document to your general contractor.
- Do I need to sign this form before a notary?
- Yes. The affidavit has a jurat stating it was signed and sworn to before a notary, and the form says it must be notarized at the start of the job or project.
- Can I use an online notary for this affidavit?
- Oklahoma authorizes remote online notarization by a commissioned online notary who has separately registered with the Secretary of State. Oklahoma law also recognizes qualifying notarial acts performed by an authorized officer of another state.
- Where do I submit the signed affidavit?
- The form instructs you to give the signed affidavit to your general contractor. If you are unsure about any local filing or delivery question, confirm with the city or county clerk.