Official Workers' Compensation form in pdf format.
Tennessee Provider Registration for Workers' Compensation
Category:
State:
Tennessee
Control #:
TN-C39-WC
Format:
Word;
PDF;
Rich Text
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Description
How to fill out Tennessee Provider Registration For Workers' Compensation?
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FAQ
Workers Comp. Exemption Registry @tn.gov, or by calling (615) 741-0526. The application is hand printed in ink or computer generated and mailed along with the required filing fee to the Secretary of State's office at 6th FL - Snodgrass Tower, 312 Rosa L.
Tennessee requires that all sole proprietorships, general partnerships, corporations, limited liability companies (LLCs), limited partnerships (LPs), limited liability partnerships (LLPs), or out of state companies that regularly transact business in Tennessee under a name different from their legal name, must file a
The control number is displayed in the left column of the search results list and at the top of the Business Entity Detail form in the blue heading bar.
Tennessee mandates strict workers' compensation insurance coverage for most employees. Every firm with five or more employees must provide workers' comp insurance.Construction business or trades that have one or more employees must have workers' comp.
Entity Number: The identification number assigned to a business entity by the California Secretary of State at the time of registration.A limited liability company and limited partnership entity number is a 12 digit number with no letter at the beginning.
An injured worker's wage paid is 66 2/3%. The weekly payment minimum is $112.80. The weekly maximum is $752, 100% of the Tennessee state average weekly wage. Maximum period of payments is 400 weeks and the maximum amount payable is $300,800.
Tennessee workers' comp laws provide compensation for lost or reduced wages due to your inability to work.Temporary total disability benefits are two-thirds of your average weekly wage at the time of your injury, subject to a statutory maximum. As of July 1, 2017, the maximum weekly benefit is $992.20.
Tennessee Secretary of State Control Number: A control number is assigned to each entity on record with the Tennessee Secretary of State Division of Business Services. To find entity information, including the Secretary of State control number, visit: https://tnbear.tn.gov/ECommerce/FilingSearch.aspx.
If you would like to reserve a name with the Secretary of State, please select the appropriate form below to download the Business Name Form. The filing fee for a name reservation is $20. Or click here to form or register a new business in the State of Tennessee.