Notice Of Withdrawal Of Exempt Employers Voluntary Election {I-9} | Pdf Fpdf Doc Docx | Tennessee

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Notice Of Withdrawal Of Exempt Employers Voluntary Election {I-9} | Pdf Fpdf Doc Docx | Tennessee

Last updated: 8/8/2006

Notice Of Withdrawal Of Exempt Employers Voluntary Election {I-9}

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Description

FORM I-9 TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Division of Workers Compensation Nashville, Tennessee 37243-0661 NOTICE OF WITHDRAWAL OF EXEMPT EMPLOYERS VOLUNTARY ELECTION Notice is hereby given that _____________________________________________________________ Firm Name __________________________________________________________________________________________ FEIN# StreetAddress __________________________________________________________________________________________ City State Zip wish to withdraw its voluntary election to come under the provisions of the Tennessee Workers Compensation Act. _______________________________________________ Signature _______________________________________________ Address _______________________________________________ Address Dated this __________________day of_________________________, 20________. LB-0289 (rev.8/99)

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