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INITIAL WORKERS COMPENSATION EXEMPTION REGISTRATION RENEWAL FORM For Office Use OnlyBureau of Workers Compensation State of Tennessee 220 French Landing Drive, Floor 1B Nashville, TN 37243 (615) $532131950.00
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How to fill out initial workers compensation exemption

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How to fill out initial workers compensation exemption

01
Obtain the workers compensation exemption form from the appropriate state agency.
02
Fill out the form completely and accurately, providing all requested information.
03
Sign and date the form where indicated.
04
Submit the completed form to the state agency for approval.

Who needs initial workers compensation exemption?

01
Individuals who are self-employed or who own a business with no employees may need to fill out an initial workers compensation exemption form.
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The initial workers compensation exemption is a form filed by business owners to request exemption from providing workers compensation insurance for themselves.
Business owners who do not have any employees other than themselves are required to file initial workers compensation exemption.
The initial workers compensation exemption form can be filled out online or by mail, providing information about the business owner and confirming the lack of additional employees.
The purpose of initial workers compensation exemption is to allow business owners without employees to be exempt from the requirement of providing workers compensation insurance.
The initial workers compensation exemption form requires information about the business owner, business type, and confirmation that there are no additional employees.
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