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.

How You Can File Here

  • E-File a Request for a Copy of your Workers' Compensation Exemption Registration and pay fees (includes service 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

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
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What You'll Need to Request a Copy