Get Form Ss 4525

Filling out the Form Ss 4525 for workers' compensation exemption registration can be completed online for your convenience. This guide will provide clear instructions on how to navigate each section of the form to ensure accurate completion.

Follow the steps to fill out the Form Ss 4525 online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor for online completion.
2. Enter your registration control number in the designated field. This unique number can be found through the Tennessee Secretary of State's website.
3. Provide the applicant's full legal name, including the first name, middle initial, and last name.
4. Input the applicant's date of birth using the format of two-digit month, two-digit day, and four-digit year.
5. Enter the last four digits of the applicant's Social Security Number. Ensure that no complete Social Security Number is provided to avoid rejection.
6. Indicate if the person requesting a copy is the applicant or a third party by checking the appropriate box.
7. If applicable, fill in the name of the person requesting the copy, along with their complete mailing address including street address, city, state abbreviation, and zip code.
8. Provide the phone number and email address of the person requesting the information for contact purposes.
9. Indicate the total number of copies requested and ensure to enter the number correctly.
10. Include the processing fee payment. Make checks payable to the Tennessee Secretary of State for the required fee of $20.00 per copy requested.
11. Review all entered information for accuracy and save the form's changes. You may then download, print, or share the completed form as needed.

Complete your Form Ss 4525 online today for an efficient registration process.