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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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In most industries, any employer with five or more full or part-time employees must carry workers' compensation insurance. In the construction or mining industry, however, employers must provide coverage even if there is only one employee.

The weekly maximum compensation rate for a Permanent Total Disability and a Permanent Partial Disability is $752.00 (100% of average wages in Tennessee). In Tennessee, an injured employee can only receive workers' compensation disabilty payments for a maximum of 400 weeks.

Hargett said applicants who qualify and who submit their applications online will receive instant confirmation of their exemptions. Applications submitted in person or by mail will be processed in 10 or fewer business days from the date the application is received.

Workers' comp insurance isn't just important to have, it is actually a requirement in most states. In Tennessee, businesses with five or more employees must carry workers' compensation insurance. Having this coverage will give your employees benefits if they suffer from a work-related injury or illness.

Every other employer in the state of Tennessee that has five or more employees must secure workers' compensation insurance coverage for their employees either by purchasing a policy from an insurance carrier or by qualifying as a self-insured employer with the Department of Commerce and Insurance.

State and local governments and those employing farm laborers or domestic help are exempt from the coverage requirements but may elect to purchase workers' compensation coverage anyway.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232