I.
 

II.



III.

You will need a copy of “Acrobat Reader” if you wish to view the claim forms.

If you already have a copy of “Acrobat Reader” select a claim type below to view a printable copy of the document.

If you do not have the Acrobat Reader
Click here>>
Get Acrobat<< to get a FREE copy.
 

u Tennessee Employer’s First Report of Work Injury
 

u For any other claim please call 1-888-523-4974
 

After copying and completing a claim please fax or mail it to:

Cumberland Insurance Group
1459 Interstate Dr.
Suite:201
 P.O. Box 430
Cookeville, TN 38501

Fax
  931-372-2762

 

Website by: N2theNet

©2001 N2theNet