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Workers' Compensation Exemption Registry
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Request a Copy
Request a Copy - Exemption Registry
Who Can File Here
Construction services providers who have an active Workers’ Compensation Exemption Registration can obtain a copy of their exemption registration here (credit card required).
How You Can File Here
E-File a Request for a Copy
of your Workers' Compensation Exemption Registration (credit card required) and pay fees (includes convenience fee) online.
If you prefer to mail in a copy request, please use form
SS-4525
.
Have Questions?
For assistance with your request for copies, or if you do not want to submit online, please contact Business Services at (615) 741-2286 or
WorkersComp.ExemptionRegistry@tn.gov
.
Request for Copies Requirements
The
Registration Control Number
of the Exemption Registration you are requesting a copy of.
The registration applicant's name, birth date and the last 4 digits of the Social Security Number. This information is required to securely identify the Workers' Compensation Exemption Registration.
Copy fee $20.00 (Additional fees include a convenience fee of $2.25).
Start Now!
E-File a Request for Copies
(credit card required)
What You'll Need to Request a Copy
Registration Control Number
Identifying info (Name, Birth Date, Last 4 digits of SSN)
Credit or check card (Additional fees include a
convenience fee
of $2.25)