Form LB-0289S (I-9) Notice of Withdrawal of an Exempt Employer's Voluntary Election - Tennessee (English / Spanish)

What Is Form LB-0289S (I-9)?

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-0289S?
A: Form LB-0289S is the form used to withdraw an exempt employer's voluntary election in Tennessee.

Q: Who uses Form LB-0289S?
A: Employers in Tennessee who want to withdraw their exempt status use Form LB-0289S.

Q: What is an exempt employer's voluntary election?
A: An exempt employer's voluntary election is a choice made by an employer to exempt themselves from the Tennessee Workers' Compensation Act.

Q: Why would an employer want to withdrawal an exempt election?
A: An employer may want to withdraw their exempt election if they no longer meet the requirements for exemption or if they want to be covered by workers' compensation.

Q: Is the form available in English and Spanish?
A: Yes, Form LB-0289S is available in both English and Spanish.

Q: What should I do with the completed form?
A: Once you have completed Form LB-0289S, you should submit it to the Tennessee Bureau of Workers' Compensation.

Q: When should I submit the form?
A: You should submit the form as soon as you have made the decision to withdraw your exempt election.

Q: Are there any fees associated with submitting this form?
A: There are no fees associated with submitting Form LB-0289S.

Q: Can I make changes to the form after submitting it?
A: No, once you have submitted the form, you cannot make changes. If you need to make a correction, you should contact the Tennessee Bureau of Workers' Compensation.