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.

Report a Claim

Report a New Claim Online

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)

TNRMT Safety Grant Application

An application for the TNRMT Safety Grant. (Print Only)