3600 Lorraine Drive • Walworth, NY 14568

Telephone: (315) 986-1400

Affidavit of Exemption to Show Specific Proof of Workers' Compensation Insurance Coverage (NYS BP-1 Form)

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Town of Walworth
3600 Lorraine Drive
Walworth, NY 14568
(315) 986-1400
(315) 986-1440 (fax)

Contact the Walworth Town Supervisor

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8:00am-4:00pm

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