Get Initial Workers'' Compensation Exemption Registration - Tn

This guide provides clear and comprehensive instructions on completing the Initial Workers' Compensation Exemption Registration - Tn form online. Follow these simple steps to ensure your registration is completed accurately and efficiently.

Follow the steps to successfully fill out the exemption registration form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Fill in the 'Applicant Information' section. Enter your registration control number, full legal name, date of birth, last four digits of your Social Security Number, phone number, and email address.
3. Complete the 'Physical Address' field with the business's principal office address, including the street address, city, state abbreviation, and zip code.
4. In the ‘Mailing Address’ section, provide your mailing address, or write 'same as physical address' if applicable.
5. Fill in the expiration details by entering the date your initial registration expires and check the box if you are renewing within the required sixty-day time-frame.
6. Complete the 'Initial State Board for Licensing Contractors Information' by checking the appropriate box regarding your business's licensure status.
7. Provide relevant licensing details in the 'Initial Local Business License Information' section, including any required county and city licenses.
8. In the 'Attestation' section, check the boxes confirming your affiliation with the business entity, understanding of the exemption requirements, and waiver of rights, then sign and date the form.
9. Pay the appropriate filing fee of $100.00 or $50.00 based on your licensure status. Ensure your payment method is valid before submitting.
10. Review the form for completeness and accuracy. Save your changes, and choose to download, print, or share the form as needed.

Complete your Initial Workers' Compensation Exemption Registration - Tn online today to streamline your registration process.