Form SS-4523 Initial Workers' Compensation Exemption Registration Application Form - Tennessee

Form SS-4523 Initial Workers' Compensation Exemption Registration Application Form - Tennessee

What Is Form SS-4523?

This is a legal form that was released by the Tennessee Secretary of State - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SS-4523?
A: Form SS-4523 is the Initial Workers' Compensation Exemption Registration Application Form in Tennessee.

Q: What is the purpose of Form SS-4523?
A: The purpose of Form SS-4523 is to register for workers' compensation exemption in Tennessee.

Q: Who needs to fill out Form SS-4523?
A: Individuals who are seeking exemption from workers' compensation coverage in Tennessee need to fill out Form SS-4523.

Q: Is there a fee for submitting Form SS-4523?
A: Yes, there is a fee for submitting Form SS-4523. The current fee is $50.

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Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the Tennessee Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SS-4523 by clicking the link below or browse more documents and templates provided by the Tennessee Secretary of State.

Download Form SS-4523 Initial Workers' Compensation Exemption Registration Application Form - Tennessee

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