# Tenn. Code Ann. § 47-18-5505: Application for registration - Form, fee, and accompanying documents > Tennessee · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-5505 ## Section - **Citation:** Tenn. Code Ann. § 47-18-5505 - **Heading:** Application for registration - Form, fee, and accompanying documents - **Jurisdiction:** Tennessee - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** TN Code / Title 47 / Chapter 18 / Section 47-18-5505 ## Text (a) An application for registration as a provider must be in a form prescribed by the administrator. (b) Subject to adjustment of dollar amounts pursuant to § 47-18-5532(f) , an application for registration as a provider must be accompanied by: (1) The fee established by the administrator; (2) The bond required by § 47-18-5513 ; (3) Identification of all trust accounts required by § 47-18-5522 and an irrevocable consent authorizing the administrator to review and examine the trust accounts; (4) Evidence of insurance in the amount of two hundred fifty thousand dollars ($250,000): (A) Against the risks of dishonesty, fraud, theft and other misconduct on the part of the applicant or a director, employee or agent of the applicant; (B) Issued by an insurance company authorized to do business in this state and rated at least "A" or equivalent by a nationally recognized rating organization approved by the administrator; (C) With a deductible not exceeding five thousand dollars ($5,000); (D) Payable for the benefit of the applicant, this state and individuals who are residents of this state, as their interests may appear; and (E) Not subject to cancellation by the applicant or the insurer until sixty (60) days after written notice has been given to the administrator; (5) A record consenting to the jurisdiction of this state containing: (A) The name, business address and other contact information of its registered agent in this state for purposes of service of process; or (B) The appointment of the administrator as agent of the provider for purposes of service of process; and (6) If the applicant is exempt from taxation under the Internal Revenue Code, 26 U.S.C. § 501 , evidence of that status. Acts 2009, ch. 469, § 1. (a) An application for registration as a provider must be in a form prescribed by the administrator. (b) Subject to adjustment of dollar amounts pursuant to § 47-18-5532(f) , an application for registration as a provider must be accompanied by: (1) The fee established by the administrator; (2) The bond required by § 47-18-5513 ; (3) Identification of all trust accounts required by § 47-18-5522 and an irrevocable consent authorizing the administrator to review and examine the trust accounts; (4) Evidence of insurance in the amount of two hundred fifty thousand dollars ($250,000): (A) Against the risks of dishonesty, fraud, theft and other misconduct on the part of the applicant or a director, employee or agent of the applicant; (B) Issued by an insurance company authorized to do business in this state and rated at least "A" or equivalent by a nationally recognized rating organization approved by the administrator; (C) With a deductible not exceeding five thousand dollars ($5,000); (D) Payable for the benefit of the applicant, this state and individuals who are residents of this state, as their interests may appear; and (E) Not subject to cancellation by the applicant or the insurer until sixty (60) days after written notice has been given to the administrator; (5) A record consenting to the jurisdiction of this state containing: (A) The name, business address and other contact information of its registered agent in this state for purposes of service of process; or (B) The appointment of the administrator as agent of the provider for purposes of service of process; and (6) If the applicant is exempt from taxation under the Internal Revenue Code, 26 U.S.C. § 501 , evidence of that status. (1) The fee established by the administrator; (2) The bond required by § 47-18-5513 ; (3) Identification of all trust accounts required by § 47-18-5522 and an irrevocable consent authorizing the administrator to review and examine the trust accounts; s of service of process; and (6) If the applicant is exempt from taxation under the Internal Revenue Code, 26 U.S.C. § 501 , evidence of that status. (1) The fee established by the administrator; (2) The bond required by § 47-18-5513 ; (3) Identification of all trust accounts required by § 47-18-5522 and an irrevocable consent authorizing the administrator to review and examine the trust accounts; (4) Evidence of insurance in the amount of two hundred fifty thousand dollars ($250,000): (A) Against the risks of dishonesty, fraud, theft and other misconduct on the part of the applicant or a director, employee or agent of the applicant; (B) Issued by an insurance company authorized to do business in this state and rated at least "A" or equivalent by a nationally recognized rating organization approved by the administrator; (C) With a deductible not exceeding five thousand dollars ($5,000); (D) Payable for the benefit of the applicant, this state and individuals who are residents of this state, as their interests may appear; and (E) Not subject to cancellation by the applicant or the insurer until sixty (60) days after written notice has been given to the administrator; (A) Against the risks of dishonesty, fraud, theft and other misconduct on the part of the applicant or a director, employee or agent of the applicant; (B) Issued by an insurance company authorized to do business in this state and rated at least "A" or equivalent by a nationally recognized rating organization approved by the administrator; (C) With a deductible not exceeding five thousand dollars ($5,000); (D) Payable for the benefit of the applicant, this state and individuals who are residents of this state, as their interests may appear; and (E) Not subject to cancellation by the applicant or the insurer until sixty (60) days after written notice has been given to the administrator; (5) A record consenting to the jurisdiction of this state containing: (A) The name, business address and other contact information of its registered agent in this state for purposes of service of process; or (B) The appointment of the administrator as agent of the provider for purposes of service of process; and (A) The name, business address and other contact information of its registered agent in this state for purposes of service of process; or (B) The appointment of the administrator as agent of the provider for purposes of service of process; and (6) If the applicant is exempt from taxation under the Internal Revenue Code, 26 U.S.C. § 501 , evidence of that status. Acts 2009, ch. 469, § 1. ## Nearby sections - [Tenn. Code Ann. § 47-18-101 Short title](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-101.md) - [Tenn. Code Ann. § 47-18-102 Purposes](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-102.md) - [Tenn. Code Ann. § 47-18-103 Part definitions](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-103.md) - [Tenn. Code Ann. § 47-18-104 Unfair or deceptive acts prohibited](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-104.md) - [Tenn. Code Ann. § 47-18-106 Investigations - Requests for information - Penalties for noncompliance](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-106.md) - [Tenn. Code Ann. § 47-18-107 Assurance of voluntary compliance - Penalty for violation](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-107.md) - [Tenn. Code Ann. § 47-18-108 Restraining orders or injunctions - Penalty for violation](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-108.md) - [Tenn. Code Ann. § 47-18-109 Private right of action - Damages - Notice to attorney general](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-109.md) - [Tenn. Code Ann. § 47-18-110 Limitations of actions](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-110.md) - [Tenn. Code Ann. § 47-18-111 Exemptions](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-111.md) - [Tenn. Code Ann. § 47-18-112 Supplementary law](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-112.md) - [Tenn. Code Ann. § 47-18-113 Waiver of rights - Restrictions on jurisdiction or venue prohibited](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-113.md) - [Tenn. Code Ann. § 47-18-114 Powers of attorney general](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-114.md) - [Tenn. Code Ann. § 47-18-115 Construction](https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-115.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TN_T47_C18_S47-18-5505. Check the current official text before relying on it. Not legal advice.