Claims Reporting STOP!T Safety Grant

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

Tennessee Form C41

Wage Statement

Tennessee Form C42G

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.

TNRMT Safety Grant Application

An application for the TNRMT Safety Grant.

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