This is a legal form that was released by the Tennessee Secretary of State - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SS-4523?
A: Form SS-4523 is the Initial Workers' Compensation Exemption Registration Application Form in Tennessee.
Q: What is the purpose of Form SS-4523?
A: The purpose of Form SS-4523 is to register for workers' compensation exemption in Tennessee.
Q: Who needs to fill out Form SS-4523?
A: Individuals who are seeking exemption from workers' compensation coverage in Tennessee need to fill out Form SS-4523.
Q: Is there a fee for submitting Form SS-4523?
A: Yes, there is a fee for submitting Form SS-4523. The current fee is $50.
Form Details:
Download a printable version of Form SS-4523 by clicking the link below or browse more documents and templates provided by the Tennessee Secretary of State.