The purpose of the proposed amendment is to revise DWC 250, Notice of Election to Be Exempt, and its accompanying instructions, to adopt DWC 252, Certificate of Election to Be Exempt, and to update addresses for field offices for the Division of Workers’ Compensation’s Bureau of Compliance. The amendment revises Section 4 of both the form and instructions, deleting a request for an applicant’s “Business Mailing Address” and replacing it with a request for an “Address of Record”. The effect of the amendment is to provide additional guidance to applicants regarding the necessity of maintaining a consistent and reliable address for the purpose of receiving time-sensitive legal notices, documents, and communications from the Department, and to advise the public of correct field office information for the Division of Workers’ Compensation’s Bureau of Compliance.