Barnes Insurance Agency
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Printable Forms

Choose your form from the list below. Please print the form on your printer, fill out and fax to our offices at 865-908-0066. The forms are created with Adobe Acrobat software and you will need the free Acrobat reader installed on your computer in order to open the files.

Click to get Adobe Acrobat Reader if you have trouble opening these files.

Employer's First Report of Work Injury or Illness (Form C-20)

Employee's Choice of Physician (Form C-42)

Injury to Guest / Accident Report Form

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Barnes
Insurance Agency

Toll Free: 877-279-2500
Phone: 865-908-5000
Fax: 865-908-0066
E-mail: info@biatn.com

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Copyright © 2006 Barnes Insurance Agency, Inc. - Privacy Policy
This website provides a basic summary of the insurance products offered by Barnes Insurance Agency. It is not a statement of contract and coverage may not apply in all areas. For a complete description of coverage, please read the insurance policy, including all endorsements.