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

Notice of Reported Injury
First Report of Injury

Tennessee WC Beginner's Guide
First Report of Injury

Tennessee Form C41
Wage Statement

Tennessee Form C42
Employee's Choice of Physician

Employee Accident Report
Please submit with First Report of Injury form within 24 hours

HIPPA Medical Authorization
Please submit with First Report of Injury form within 24 hours

Mileage Request Form
Please forward to your Claims Representative

Supervisor Accident Investigation Report
Please submit with First Report of Injury form within 24 hours

Witness Accident Report
Please submit with First Report of Injury form within 24 hours

Workers' Compensation Checklist
Please submit with First Report of Injury form within 24 hours

Student Accident Benefits
A Summary of Student Accident Benefits

Student Accident Form
A form for coaches, teachers, etc. to complete for a Student Accident.
