Tennessee Workers' Compensation Clearance Document

State:
Multi-State
Control #:
US-AHI-315
Format:
Word; 
Rich Text
Instant download

Description

This AHI form to be signed by the employee to acknowledge that work-related illnesses, injuries, and accidents have been reported to the company.

How to fill out Workers' Compensation Clearance Document?

You can allocate time online trying to find the suitable legal document template that meets your state and federal requirements.

US Legal Forms offers numerous legal forms that are reviewed by experts.

You can download or print the Tennessee Workers' Compensation Clearance Document from the service.

To find an alternative version of the document, utilize the Lookup section to find the template that fits your needs.

  1. If you already possess a US Legal Forms account, you can Log In and select the Download button.
  2. Afterward, you can complete, modify, print, or sign the Tennessee Workers' Compensation Clearance Document.
  3. Every legal document template you purchase belongs to you indefinitely.
  4. To acquire another copy of the purchased form, visit the My documents tab and click the corresponding button.
  5. If you are using the US Legal Forms website for the first time, follow the basic instructions below.
  6. First, ensure that you have chosen the correct document template for your location.
  7. Read the form description to confirm you have selected the appropriate document.

Form popularity

FAQ

The Workers' Compensation Exemption Registry is administered by the office of the Tennessee Secretary of State's office for the purpose of providing a mechanism for legitimate business owners in the construction industry or construction service providers to obtain an exemption from workers' compensation coverage

Tennessee Workers' Compensation Maximum Compensation Rate In Tennessee, an injured employee can only receive workers' compensation disabilty payments for a maximum of 400 weeks.

Keep in mind that Tennessee counts family members, part-time workers and an officer of a corporation as employees. Businesses involved in coal mining and construction services also need workers' compensation insurance in the state. However, construction businesses that are sole proprietors do not need this coverage.

To calculate the impairment award, the CE multiplies the percentage points of the impairment rating of the employee's covered illness or illnesses by $2,500.00. For example, if a physician assigns an impairment rating of 40% or 40 points, the CE multiplies 40 by $2,500.00, to equal a $100,000.00 impairment award.

For assistance with your exemption renewal, or if you do not want to submit online, please contact Business Services at (615) 741-2286 or TNSOS.WCER@tn.gov. For assistance with a certificate of good standing with the Department of Revenue, please contact the Department of Revenue at 615-253-0700.

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. Parks AVE, Nashville, TN 37243.

Tennessee Workers' Compensation Maximum Compensation Rate In Tennessee, an injured employee can only receive workers' compensation disabilty payments for a maximum of 400 weeks.

The compensation period is determined by multiplying 450 weeks times the assigned impairment rating or 180 days after the employee reaches maximum medical improvement, whichever is later. (The 180 day contingency applies only to claims with a date of injury on or after June 22, 2020.)

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. Parks AVE, Nashville, TN 37243.

This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65.

Trusted and secure by over 3 million people of the world’s leading companies

Tennessee Workers' Compensation Clearance Document