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Get Form Ss 4523

Ss-4523 10/13 Business Services Division Tre Hargett Secretary of State State of Tennessee INSTRUCTIONS INITIAL WORKERS COMPENSATION EXEMPTION REGISTRATION APPLICATION FORM ss-4523 SUBMISSION OPTIONS Applications may be filed using one of the following methods E-file Go to http //tnbear. tn.gov/wc/default.aspx and use the online tool to complete the application and pay the filing fee by credit card or debit card.

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