Workers Compensation
Applications and Forms
- Insurance Company Licenses
- Insurance Company Lookup
- Group Self-Insured Packet [pdf]
- Group Self-Insured Investment Schedule [pdf]
- Individual Self-Insured Packet [pdf]
- Renewal Application for Workers' Compensation Self-Insured Packet [pdf]
- 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
- 2020 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]
- 2019 ACWC Market Conditions Presentation [pdf]
- Workers' Compensation Loss Cost Multipliers [pdf]
- Workers Compensation Consumer Fact Sheet [pdf]
- NCCI Contracting Group Classification Codes [pdf]