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ON OF WORKERS' COMPENSATION COVERAGE The use of this form is required under the provisions of: (A) O.C.G.A. 34-9-2.1 of the Workers' Compensation Law if a corporate officer or limited liability company member elects to reject coverage; (B) O.C.G.A. 34-9-2.2 if a sole proprietor or partner elects to be included as an employee; or, (C) O.C.G.A. 34-9-2.3 if a farm labor employer elects to provide coverage for farm laborers. The election of corporate officers or LLC members to reject coverage shall.

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