WC-337 (6/09) Notice of Exclusion

This form is used to exclude certain individuals from insurance coverage as permitted by statute and is not available online.  To find out whether you qualify for this exclusion and obtain a copy of the form, contact the Compliance & Employer Records Division at 517-284-8922.

A Notice of Exclusion (WC-337), is not considered valid unless stamped by this Agency showing it is on file.