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IMPORTANT: PLEASE READ BEFORE COMPLETING APPLICATION

IMPORTANT: PLEASE READ BEFORE COMPLETING APPLICATION

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1 WCB-266 (eff. 08/01/2013) IMPORTANT: PLEASE READ BEFORE COMPLETING APPLICATION . NOTICE TO APPLICANT: Predetermination of independent contractor status is based upon the information provided in this application. Participation in the submission of a fraudulent or intentionally misleading form can

  Independent, Status, Contractor, Predetermination, Predetermination of independent contractor status

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