Workers' Compensation Exemption Registry

The Workers’ Compensation Exemption Registry is for the purpose of establishing construction service providers who are exempt from workers’ compensation coverage and in no way reflects licensing or certification of any construction services provider.

Highlighted Services

Register an Initial Exemption

File an Initial Workers' Compensation Exemption Registration in the registry.
Read more

Request a Copy

Obtain an official copy of an existing Workers' Compensation Exemption Registration, as was provided at the time the exemption was filed.
Read more

Search Exemption Registry

Search the Workers' Compensation Exemption Registry and view general information about an Exemption Registration.
Read more

Workers' Compensation Exemption Registry Online Services

List of Workers' Compensation Exemption Online Processes.
Read more

Renew Exemption Registration

Renew an existing Initial or Subsequent Workers' Compensation Exemption Registration.
Read more

Request a Copy

Obtain an official copy of an existing Workers' Compensation Exemption Registration, as was provided at the time the exemption was filed.
Read more

Workers' Compensation Exemption Registry Online Services

List of Workers' Compensation Exemption Online Processes.
Read more

Search Exemption Registry

Search the Workers' Compensation Exemption Registry and view general information about an Exemption Registration.
Read more

Register a Subsequent Exemption

File a new Subsequent Workers' Compensation Exemption Registration in the registry. If you have an Initial Registration and have an additional business entity to register, file a Subsequent Registration.
Read more

Register an Initial Exemption

File an Initial Workers' Compensation Exemption Registration in the registry.
Read more

Initial Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4528 RCO)

Initial Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4528 RCO)
Read more

Initial Workers' Compensation Exemption Registration Application Form (ss-4523)

Form used to file the Initial Workers' Compensation Exemption Registration Application.
Read more

Initial Workers' Compensation Exemption Registration Renewal Form (ss-4528)

Form used to renew the Initial Workers' Compensation Exemption Registration.
Read more

Change Of Address Form (ss-4524)

Form used to file Workers' Compensation Exemption Registration Change Of Address.
Read more

Applicant Correction Form (ss-4526)

Form used to correct Workers' Compensation Exemption Registration Applicant information.
Read more

Voluntary Revocation Form (ss-4529)

Form used to voluntarily revoke the Workers' Compensation Exemption Registration.
Read more

Initial Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)

Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4527)
Read more

Affidavit for Religious Conscientious Objection

Form used to file Affidavit for Religious Conscientious Objection.
Read more

Initial Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4523 RCO)

Form used for Initial Workers' Compensation Exemption Registration religious conscientious objections.
Read more

Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)

Subsequent Workers' Compensation Exemption Registration Application Form (ss-4530)
Read more

Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)

Subsequent Workers' Compensation Exemption Registration Renewal Form (ss-4532)
Read more

Change Of Address Form (ss-4524)

Form used to file Workers' Compensation Exemption Registration Change Of Address.
Read more

Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)

Subsequent Workers' Compensation Exemption Registration Application For Reinstatement Form (ss-4531)
Read more

Applicant Correction Form (ss-4526)

Form used to correct Workers' Compensation Exemption Registration Applicant information.
Read more

Request For Copy Of Registration Notice (ss-4525)

Workers' Compensation Exemption Registration Request For Copy form.
Read more

Subsequent Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4530 RCO)

Subsequent Workers' Compensation Exemption Registration Application for Religious Conscientious Objection (ss-4530 RCO)
Read more

Voluntary Revocation Form (ss-4529)

Form used to voluntarily revoke the Workers' Compensation Exemption Registration.
Read more

Subsequent Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4532 RCO)

Subsequent Workers' Compensation Exemption Registration Renewal for Religious Conscientious Objection (ss-4532 RCO)
Read more

Subsequent Workers' Compensation Exemption Registration Application for Reinstatement for Religious Conscientious Objection (ss-

Subsequent Workers' Compensation Exemption Registration Application for Reinstatement for Religious Conscientious Objection (ss-4531 RCO)
Read more

Workers' Compensation Exemption Registry FAQs

Workers' Compensation Exemption Registry frequently asked questions.
Read more

Twitter LogoFacebook Logo Instagram Logo YouTube LogoRSS Feed LogoEmail Icon

© 2017 Tennessee Secretary of State | Web and Social Media Policies