Claims Reporting
Please forward all Property / Casualty claims documentation to pcclaims@tnrmt.com.
Please forward all Workers' Compensation claims documentation to wcclaims@tnrmt.com.
Please forward all Student Accident claims documentation to studentaccident@tnrmt.com.


Tennessee Form C20
First Report of Injury (Print Only)

Notice of Reported Injury
First Report of Injury (Print Only)

Tennessee WC Beginner's Guide
WC Guide (Print Only)

Tennessee Form C41
Wage Statement (Print Only)

Tennessee Form C42
Employee's Choice of Physician (Print Only)

Employee Accident Report
Please submit with First Report of Injury form within 24 hours (Print Only)

HIPPA Medical Authorization
Please submit with First Report of Injury form within 24 hours (Print Only)

Mileage Request Form
Please forward to your Claims Representative (Print Only)

Supervisor Accident Investigation Report
Please submit with First Report of Injury form within 24 hours (Print Only)

Witness Accident Report
Please submit with First Report of Injury form within 24 hours (Print Only)

Workers' Compensation Checklist
Please submit with First Report of Injury form within 24 hours (Print Only)

Student Accident Benefits
A Summary of Student Accident Benefits (Print Only)

Student Accident Form
For coaches, teachers, etc. to complete for a Student Accident. (Print Only)
