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Rejection of Workers' Compensation or Employers' Liability Coverage Under Iowa Code Section 87.22

Under Iowa Code section 87.22, the president, vice president, secretary, and treasurer of a corporation (other than a family farm corporation) may make a rejection of workers’ compensation or employers’ liability coverage (rejection of coverage).


For more information about rejections of coverage, click here.


To view frequently asked questions (FAQ) about rejections of coverage, click here.


DWC requires persons making a rejection of coverage to use the agency's online form.

To view, complete, and file with the Iowa Division of Workers' Compensation (DWC) the rejection of coverage form, click here.


To view the list of rejections of coverage filed with DWC on or after November 1, 2019, click here.


For information about terminations of rejections of coverage, click here.