2551 Georgetown Road Cleveland, TN 37311 423.472.5051    423.472.2470 Fax 888.546.7462 Toll Free Email: mail@insuranceinc.net   Home     About     Commercial Lines     Personal Lines     Claims     Life, Health and Group Benefits     Links     Contact       Privacy Policy / Terms of Use         Links Links > Workers Compensation > TN Workers Compensation Information   C-20 Employer's First Report Form C-42 Employer/Employee Agreement on Choice of Physician Tennessee Workers Compensation Insurance Notice TN Drug Free Workplace Program Law 08-2-17 Section 13 Form I-6 Corporate Exclusion Form Form I-4 Proprietor, Partners, LLC Inclusion Form Frequently Asked Questions Did You Know? When you hire a new employee, you are able to obtain workers compensation claims information on that person from the Tennessee Department of Labor.  As of July 2008, the contact person at the Tennessee Department of Labor is Stacey Bennett.  Her e-mail address is Stacey.Bennett@TN.com and her telephone number is 615-253-1842.  To receive the information, you will need to send the person's full name and social security number.

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