Get Tn Sos Ss-4528 2013-2025

Filling out the TN SOS SS-4528 form online can streamline your experience and ensure timely processing. This guide provides a comprehensive walkthrough for completing the form, ensuring all necessary details are accurately captured.

Follow the steps to complete the TN SOS SS-4528 online.

1. Click the ‘Get Form’ button to access the TN SOS SS-4528 and open it for editing.
2. Enter the registration control number, which is a unique identifier assigned when you registered with the Workers’ Compensation Exemption Registry. You can find it via the Registry's lookup tool.
3. Input the full legal name of the applicant in the fields provided, including the first name, middle initial, and last name.
4. Fill in the applicant's date of birth in the specified format: two-digit month, two-digit day, and four-digit year.
5. Provide the last four digits of the applicant's Social Security Number. Do not include the full number to avoid application rejection.
6. Include a telephone number where the applicant can be reached, featuring the three-digit area code.
7. Input a valid email address for communication purposes.
8. Enter the physical address of the applicant. Ensure this is the main business office location, including city, state, and zip code. Avoid using a P.O. box.
9. If the mailing address differs from the physical address, fill in the mailing address details as required. If the same, state 'same as physical address' for clarity.
10. Indicate the expiration date of the initial registration using the format: two-digit month, two-digit day, and four-digit year.
11. Check the box confirming renewal is taking place within 60 days of the expiration date. This step is crucial for a successful renewal.
12. Select whether the business has an active contractor's license and enter the license number and expiration date if applicable.
13. Provide the necessary details about the county and city or municipal business licenses, including the names, license numbers, and expiration dates, if required.
14. Complete the attestation section by checking relevant boxes, confirming your affiliation, compliance with requirements, and understanding of liability waivers.
15. Lastly, sign and date the form where indicated. Omitting your signature will lead to rejection of the application.
16. After completing the form, proceed to save changes, download, print, or share the form as necessary.

Complete your TN SOS SS-4528 form online today for a streamlined filing experience.