Required for businesses applying for any of the following licenses:
All Minnesota Department of Agriculture (MDA) license application forms request information for workers’ compensation insurance information. A Minnesota Business (Tax) Identification Number must be provided or application forms received without this information, or improperly completed, may result in your application and payment being returned, or a delay in the issuance of your license.
Provide Social Security Number or MN Business (Tax) Identification Number if available. Please note: A Social Security Number is not public data, therefore the MDA can not disclose this information without written consent from you unless specifically authorized by law to do so. Minnesota Statutes, Section 270.72 Subd. 4, gives the MDA legal authority to request the Social Security Number of license applicants.
Minnesota Statute 176.182 requires persons applying for a license to operate in Minnesota provide acceptable evidence of compliance with the Workers’ Compensation Insurance Law. If you are self-insured, please attach a copy of the exemption order from the Commissioner of Commerce authorizing self-insurance. For questions regarding Workers’ Compensation Insurance, contact the Department of Labor and Industry at 651-284-5005 or 800-342-5354.
On the license application form, you will need to provide the following information:
The data that you supply on a license application form will be used to process your application. If you do not have a Minnesota business ID you must provide us with your social security number (see Minn. Stat. section 270.72). We will not grant this license without it. Your social security number is private data under Minn. Stat. Section 13.49. No one will be given access to your private data except those permitted access by law, by your written consent, by a court order or by those department employees who require access in the performance of their official duties.