Form LB-0090 (I-6) Notice of Corporate Officer to Employer of Election Not to Accept Provisions of Workers' Compensation Act of Tennessee - Tennessee

Form LB-0090 (I-6) Notice of Corporate Officer to Employer of Election Not to Accept Provisions of Workers' Compensation Act of Tennessee - Tennessee

What Is Form LB-0090 (I-6)?

This is a legal form that was released by the Tennessee Department of Labor and Workforce Development - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LB-0090?
A: Form LB-0090 (I-6) is a notice of corporate officer to employer of election not to accept provisions of Workers' Compensation Act of Tennessee.

Q: What does this form do?
A: This form is used by corporate officers in Tennessee to notify their employer of their decision not to accept the provisions of the Workers' Compensation Act.

Q: Who should use Form LB-0090?
A: Corporate officers in Tennessee who choose not to be covered under the Workers' Compensation Act should use Form LB-0090.

Q: What is the Workers' Compensation Act of Tennessee?
A: The Workers' Compensation Act of Tennessee is a law that provides compensation and medical benefits to employees who suffer job-related injuries or illnesses.

Q: What happens if a corporate officer chooses not to accept the provisions of the Workers' Compensation Act?
A: If a corporate officer opts out of the Workers' Compensation Act, they will not be eligible for compensation and medical benefits under the Act.

Q: Is it mandatory for corporate officers to use Form LB-0090?
A: Yes, corporate officers must use Form LB-0090 to notify their employer if they choose not to accept the provisions of the Workers' Compensation Act.

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Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Tennessee Department of Labor and Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form LB-0090 (I-6) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form LB-0090 (I-6) Notice of Corporate Officer to Employer of Election Not to Accept Provisions of Workers' Compensation Act of Tennessee - Tennessee

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  • Form LB-0090 (I-6) Notice of Corporate Officer to Employer of Election Not to Accept Provisions of Workers Compensation Act of Tennessee - Tennessee, Page 1
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