Workers Compensation
Applications and Forms
- Licensed Insured
- Licensed Self-Insured Programs and Administrators:
- Licensed Self-Insured (Pools)
- Service of Process [pdf]
- Tennessee Summary of Supporting Information Form [pdf]
- General Contractor Notice For Commercial Construction Projects [pdf]
- Workers Compensation TPA Application Packet [pdf]
Notices and Other Information
- Sample Commercial CSP Policyholder Notice
- 2021 Workers Compensation Appeal Hearing Dates [pdf]
- 2020 Order Approving Workers' Compensation Loss Cost and Rating Values Filings [pdf]
- 2020 Order Approving Workers' Compensation Assigned Risk Filing and Establishing Loss Cost Multiplier [pdf]
- Procedures for Addressing Workers' Compensation Premium Disputes [pdf]
- 2020 ACWC Market Conditions Presentation [pdf]
- Workers' Compensation Loss Cost Multipliers [pdf]
- Workers Compensation Consumer Fact Sheet [pdf]
- NCCI Contracting Group Classification Codes [pdf]