COV-19
RI contractors affected by cov-19 may file for compensation here.
1. Designation of Status as an Independent Contractor Online Form: This form clarifies the relationship between a contractor and the business hiring the contractor. Submitting this form means that the contractor is not an employee of the hiring business for workers’ compensation purposes. The contractor is responsible for his own workers’ compensation insurance coverage. The hiring business is not responsible to provide workers’ compensation coverage for the independent contractor
File Online
Download PDF
2. Notice of Withdrawal of Designation of Independent Contractor Online Form: This form ends the relationship between a contractor and the hiring business. Submitting this form means that the contractor is no longer independent of the hiring business named on this form. If the contractor continues to work for this business, the business would be responsible to provide workers’ compensation coverage for the contractor.
Once completed, PDF Forms can be faxed to (401) 462-8128 or mailed to the RI Department of Labor and Training, P.O. Box 20190, Cranston, RI 02920-0942.
File Online
Download PDF
Once completed, PDF Forms can be faxed to (401) 462-8128 or mailed to the RI Department of Labor and Training, P.O. Box 20190, Cranston, RI 02920-0942.
