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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.
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
TNSOS.WCER@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
What You'll Need to Request a Copy
Registration Control Number
Identifying info (Name, Birth Date, Last 4 digits of SSN)
Credit or Debit card (Additional fees may include a
service fee
)