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Get Tn Lb-0090 2017-2026
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How to use or fill out the TN LB-0090 online
Filling out the TN LB-0090 form is an important step for corporate officers wishing to elect exemption from the Tennessee Workers’ Compensation Act. This guide provides detailed instructions to ensure you complete the form accurately and efficiently.
Follow the steps to successfully complete the TN LB-0090 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter your business name in the designated field.
- Provide your Federal Employer Identification Number (FEIN) in the corresponding section.
- Fill in the business mailing address, including the city, state, and zip code.
- If your business street address differs from the mailing address, enter it in the specified section.
- In the section for sworn statements, print your name and title as the corporate officer making the election.
- Indicate your election not to be bound by the provisions of the Tennessee Workers’ Compensation Act.
- Certify that your employer has not advised, counseled, or encouraged you to reject the provisions of the Act.
- Input the date of signing the document.
- Sign the form and include your Social Security Number in the designated area.
- Make sure a notary public witnesses your signature and affix their signature and seal where indicated.
- Once completed, save your changes, and download the form if necessary. You may also print or share the document as required.
Complete your documents online for a smooth and efficient filing experience.
Going through workers' comp can be highly beneficial for employees facing work-related injuries. It provides timely medical care and financial support during recovery. Although the process may seem daunting, understanding TN LB-0090 can make navigating the system much easier and ensure you receive the support you deserve.
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