Tennessee Workers Comp Forms

Find Tennessee workers compensation forms and coverage guides.

All Tennessee employers and employees may download and use any of our TN workers' compensation forms, applications, and guides for free. We are always updating our Tennessee Forms Library so check back often for the latest form versions.

If you need help completing or locating a form needed for your coverage, please contact one of our Specialist for assistance. We are happy to answer your questions about current coverage or provide information about our current work comp programs and insurance rates for Tennessee coverage.

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Tennessee Workers Comp Insurance Forms

Tennessee Workers Compensation Employer Notice

This posting is required to be displayed in every insured's workplace by The TN Department of Insurance to be

Tennessee Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Tennessee.

Tennessee First Report of Injury Form

First Report of Injury Form.  Employers should complete this form and send to their insurance company each time an injury occurs.

Exempt Employers Notice of Acceptance: Form I-8

Complete this form if you are an employer who is exempt under the Tennessee workers compensation Act, but would like to obtain workers comp coverage..

Exempt Employers Notice of Withdrawal: Form I-9

Complete this form if you are an exempt employee who elected coverage at one pint in time and now would like to become exempt from voluntary workers compensation coverage..

Tennessee Application for Exclusion of Officers: Form I-6

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

Tennessee Application for Exemption from Workers' Comp: Form I-4

Complete this form if you are a sole-proprietor, partnership with no employees or a sole officer of a corporation and would like to be exempt from coverage.

Tennessee Owner Election Withdrawal from Workers' Comp: Form I-5

Complete this form if you are a sole-proprietor or partnership and would like to withdrawal your election to be covered under workers compensation insurance.

Workers’ Compensation Contact Information

This document contains contact information for various workers' compensation assistance programs.

Choice of Physician Agreement Form

This document contains information regarding the Agreement Between Employer/Employee Choice of Physician Policy.

Drug Free Workplace Poster

Poster promoting a Drug Free Workplace.

Drug Free Workplace Information Guide

A guide on how to build a drug-free workplace program for you business.

Tennessee Workers' Compensation Information Guide

Complete the form and post it so that employees will know who to contact in case of a work related injury.

State Resources for Tennessee

Tennessee Department of Labor and Workforce Development

Workers' Compensation Division
710 James Robertson Pkwy 2nd Floor
Nashville, TN 37243-4812
615-532-4812
TN Department of Labor

Tennessee Workers' Compensation Insurance Plan

PO Box 681089
Franklin, TN 37068
800-471-6767
TWCIP

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.
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