Employer Toolkit - Tennessee
Your resource for State Specific Forms and Regulatory Links
Visit our Employer FAQ page for answers to employer related questions.
State Forms
TN Application for Drug-Free Workplace Premium Credit
TN Election of Sole Proprietor or Partner to Come within the Provisions of Workers' Compensation Law [Form I-4]
TN Notice of Corporate Officer to Employer of Election Not to Accept Provisions of Workers' Compensation Act [Form I-6]
TN Notice of Corporate Officer's Revocation of Exemption [Form I-7]
TN Notice of Election to Accept or Reject an Insurance Deductible
TN Notice of Withdrawal [Form I-5]
TN Workers' Compensation Insurance Posting Notice
TN Workers' Compensation Insurance Posting Notice - Spanish
Claim Forms
First Report of Injury [Form LB-0021]
Initial Treatment Authorization
Medical Waiver and Consent [Form C-31]
New Policyholder Welcome Packet - TN
No Injury Certificate
No Treatment Requested Letter
Pharmacy Authorization - TN
TN Application for Drug-Free Workplace Premium Credit
TN Notice of Employer Rights and Responsibilities in a WC Claim
TN Overview of 2018 Revisions to the Tennessee Bureau of WC Rules for Employers
Wage Statement [Form C-41]
Workers' Compensation System Guide - FL