Form C-42 (LB-0382) Agreement Between Employer / Employee Choice of Physician - Tennessee

Form C-42 (LB-0382) Agreement Between Employer / Employee Choice of Physician - Tennessee

What Is Form C-42 (LB-0382)?

This is a legal form that was released by the Tennessee Department of Labor and Workforce Development - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2021;
  • The latest edition provided by the Tennessee Department of Labor and Workforce Development;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form C-42 (LB-0382) by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

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  • Form C-42 (LB-0382) Agreement Between Employer / Employee Choice of Physician - Tennessee, Page 1
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