The Sole Proprietor Workers Comp Waiver is a crucial document in the Indonesian business landscape, particularly relevant under the BPJS Ketenagakerjaan framework. This document becomes necessary when sole proprietors wish to opt out of mandatory workers' compensation coverage, often due to having alternative insurance arrangements or operating in low-risk business environments. The waiver must comply with Law No. 24 of 2011 and related regulations governing social security in Indonesia. It contains detailed information about the sole proprietor's business, explicit acknowledgment of risks, and confirmation of understanding the implications of waiving coverage. This document is particularly important for sole proprietors who contract with larger organizations or participate in government projects where clear documentation of insurance status is required.
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1. Parties: Identification of the sole proprietor and their business details, including business registration number and BPJS registration number
2. Background: Context explaining the purpose of the waiver and the sole proprietor's right to elect exemption from workers' compensation coverage
3. Definitions: Key terms used in the document, including relevant Indonesian legal terminology and BPJS-related terms
4. Declaration of Business Status: Formal declaration confirming sole proprietorship status and absence of employees
5. Waiver Statement: Explicit statement waiving workers' compensation coverage and accepting associated risks
6. Acknowledgment of Rights: Confirmation that the sole proprietor understands their rights and the implications of waiving coverage
7. Duration and Validity: Period for which the waiver is valid and conditions for renewal or termination
8. Legal Compliance: Statement of compliance with Indonesian laws and BPJS regulations
9. Execution: Signature block and notarization requirements
1. Alternative Insurance Arrangements: Details of any private insurance coverage being maintained in lieu of BPJS coverage - include when the sole proprietor has alternative insurance
2. Project-Specific Details: Specific project or contract information - include when the waiver is required for a particular project or contract
3. Revocation Process: Process for revoking the waiver - include when specifically requested by either party
4. Risk Assessment: Detailed assessment of risks associated with waiving coverage - include for high-risk industries
1. Schedule A - Business Documentation: Copies of business registration certificates and BPJS registration documents
2. Schedule B - Risk Declaration Form: Standard form acknowledging understanding of risks associated with waiving coverage
3. Schedule C - Alternative Insurance Details: Documentation of any alternative insurance coverage (if applicable)
4. Appendix 1 - Statutory Declaration: Official declaration form required by Indonesian authorities
5. Appendix 2 - Legal Requirements Checklist: Checklist confirming compliance with all legal requirements for waiver
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