Skip to content
Program
People
Perspective
Safety
Contact
Member Services
Menu
Program
People
Perspective
Safety
Contact
Member Services
Main Menu
Report a Claim
Member Portal
Member Portal Registration Form
Forms
Forms
Making sure the risk mitigation needs of SEC’s clients are taken care of is important to us.
Forms:
Employee Accident Report
HIPPA Medical Authorization
Mileage Request Form
Public Entity Risk Appraisal
School Risk Appraisal Form
Supervisor Accident Investigation Report
Tennessee Form C20 – First Report of Injury
Tennessee Form C41 – Wage Statement
Tennessee Form C42 – Employee Choice of Physician
Witness Accident Report