Tennessee Form LB-0456 at a glance
What it is: Tennessee Department of Labor and Workforce Development Premium Report, Employment Security Division / Bureau of Unemployment Insurance.
Where and when to file: Employer Accounts, P.O. Box 101, Nashville TN 37202-0101.
A filled-in Tennessee Form LB-0456 example: an employer fills out the premium report
How to fill out Tennessee Form LB-0456, box by box
Employer name and address
Enter the Employer Name and Address and show any address change.
Covered workers
Enter the number of covered workers who worked during or received pay for the payroll period which includes the 12th of the month, for the 1st month, 2nd month and 3rd month.
Interest, penalty, total due and certification
Enter 5. Interest Due. Lines 6 and 7 are No Longer Valid. By signing you certify that the information on this report is true and correct. Sign on the Signature line and write the Title.
Enter 8. PENALTY DUE.
Enter 9. OUTSTANDING DEBIT OR CREDIT and 10. TOTAL DUE.
Fill in the Date and the Phone No. If there is a fax number, fill in the FAX No.
More rules for Tennessee Form LB-0456
If typed, type a consecutive string of characters, without commas, hyphens, or dollar signs, left justified, with decimal in monetary amount.
If handprinted, print your characters within the boxes, right justified and without commas, hyphens, dollar signs, or decimals.
SUBMIT ORIGINALS ONLY. PLEASE DO NOT COPY THIS FORM.
Common questions about Tennessee Form LB-0456
Where do I file it?
Make the check payable to Tennessee Department of Labor and Workforce Development and mail original reports (NO PHOTOCOPIES) to Employer Accounts, P.O. Box 101, Nashville TN 37202-0101.
Sources
[1] Tennessee Form LB-0456, Premium Report, Tennessee Department of Labor and Workforce Development (the Official source link on this page).