Tenn. Code Ann. § 45-7-122: Authorized delegate reporting

(a) Each licensee shall submit a report of authorized delegates within forty-five (45) days after the end of the calendar quarter. (b) The authorized delegate report must include, at a minimum, each authorized delegate's: (1) Company legal name; (2) Taxpayer employer identification number; (3) Principal provider identifier; (4) Physical address; (5) Mailing address; (6) Business conducted in other states; (7) Any fictitious or trade name; (8) Contact person name, phone number, and email; (9) Start date as licensee's authorized delegate; (10) End date acting as licensee's authorized delegate, if applicable; and (11) Any other information the commissioner reasonably requires with respect to the authorized delegate. Amended by 2023 Tenn. Acts, ch. 115, s 1, eff. 1/1/2024. Acts 1994, ch. 715, § 1; T.C.A., § 45-7-222 .

(a) Each licensee shall submit a report of authorized delegates within forty-five (45) days after the end of the calendar quarter.

(b) The authorized delegate report must include, at a minimum, each authorized delegate's: (1) Company legal name; (2) Taxpayer employer identification number; (3) Principal provider identifier; (4) Physical address; (5) Mailing address; (6) Business conducted in other states; (7) Any fictitious or trade name; (8) Contact person name, phone number, and email; (9) Start date as licensee's authorized delegate; (10) End date acting as licensee's authorized delegate, if applicable; and (11) Any other information the commissioner reasonably requires with respect to the authorized delegate.

(1) Company legal name;

(2) Taxpayer employer identification number;

(3) Principal provider identifier;

(4) Physical address;

(5) Mailing address;

(6) Business conducted in other states;

(7) Any fictitious or trade name;

(8) Contact person name, phone number, and email;

(9) Start date as licensee's authorized delegate;

(10) End date acting as licensee's authorized delegate, if applicable; and

(11) Any other information the commissioner reasonably requires with respect to the authorized delegate.