Tulsa, OK · Tulsa County
Affidavit of Exemption from Workers Compensation
This sworn affidavit states that an individual doing business has no employees covered by the Workers’ Compensation Act or is exempt, for residential permit applications filed with the City of Tulsa.
- 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 lets an individual doing business state under oath that they have no employees for whom workers’ compensation is required, or that they are exempt. The City of Tulsa form is for residential permit applications and asks the signer to promise to comply with the Act if they later hire covered employees. The form says the City does not determine whether someone is exempt and advises seeking independent advice before submitting an exemption claim.
Who needs it
An individual doing business who is applying for a residential permit in Tulsa and states they have no covered employees or are exempt may need this affidavit.
Why it needs a notary
The signer must swear to the affidavit before a notary public, who completes the “Signed and sworn to before me” jurat and commission details.
How to get this notarized
- 1
Download the Affidavit
Get the City of Tulsa Affidavit of Exemption from Workers Compensation form.
- 2
Fill In the Form
Enter your individual business name and review each statement before signing.
- 3
Book an Online Notary
Arrange a remote online notarization for the affidavit’s sworn jurat.
- 4
- 5
Submit to the City
Include the completed affidavit with your residential permit application to the City of Tulsa.
Preview the form
The blank PDF straight from Tulsa. 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 Tulsa workers’ compensation exemption affidavit?
- Fill in your individual business name and the affidavit details, then sign under oath before a notary. Submit the completed form with your residential permit application.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form says it must be signed and sworn to before a notary public, who completes the jurat and commission details.
- Can I use online notarization for this affidavit?
- Oklahoma authorizes remote online notarization by a commissioned notary who separately registers with the Secretary of State. Confirm with the city or county clerk if unsure whether the notarized form meets submission requirements.
- Does the City of Tulsa decide whether I am exempt?
- No. The form says the City does not know whether you are exempt and does not offer an opinion. It advises seeking independent advice before submitting an exemption claim.
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Commercial Building, Zoning Clearance, and Certificate of Occupancy Permit Application
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Affidavit of Exemption from Workers Compensation in other Oklahoma cities
Each city publishes its own version of this form. Pick the city where you’re filing.