Documents

182

Form LB-0489 "Separation Notice" - Tennessee

Rate (4.4 / 5) 126 votes
Size: 4 MB
3 pages

This a Tennessee document used to indicate information about a worker's employment termination, which will later be used to determine their qualification for unemployment compensation.

Form SD-2 (LB-3261) "Statistical Data Form for Injuries on/After July 1, 2014" - Tennessee

Rate (4.6 / 5) 26 votes
Size: 1 MB
2 pages

Form I-3 (LB-0286) "Notice of Reduction" - Tennessee

Rate (4.5 / 5) 66 votes
Size: 76 KB
1 page

Form I-9 (LB-0289) "Notice of Withdrawal of an Exempt Employers' Voluntary Election" - Tennessee

Rate (4.6 / 5) 28 votes
Size: 85 KB
1 page

Form I-4 (LB-0228S) "Notice of Election" - Tennessee (English/Spanish)

Rate (4.4 / 5) 8 votes
Size: 104 KB
2 pages

Form TOSHA-7 "Report a Safety or Health Hazard Complaint Form" - Tennessee

Rate (4.6 / 5) 24 votes
Size: 144 KB
2 pages

Form C-33 (LB-0376) "Case Management Notification" - Tennessee

Rate (4.3 / 5) 18 votes
Size: 84 KB
1 page

Form C-20 (LB-0021) "Employer's First Report of Work Injury or Illness" - Tennessee

Rate (4.8 / 5) 23 votes
Size: 110 KB
1 page

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

Rate (4.5 / 5) 50 votes
Size: 114 KB
1 page

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

Rate (4.4 / 5) 28 votes
Size: 118 KB
1 page

Form C-40 (LB-0381) "Request for Mediation (For Injuries Prior to 7/1/2014 Only)" - Tennessee

Rate (4.8 / 5) 25 votes
Size: 435 KB
2 pages

Form C-42 (LB-0382S) "Employee's Choice of Physician" - Tennessee (English/Spanish)

Rate (4.7 / 5) 16 votes
Size: 57 KB
2 pages

Form C-26 (LB-0285) "Notice of Change or Termination of Compensation Benefits" - Tennessee

Rate (4.3 / 5) 18 votes
Size: 40 KB
1 page

Form C-33 (LB-1023) "Case Management Notification" - Tennessee

Rate (4.6 / 5) 10 votes
Size: 28 KB
1 page

Form C-31 (LB-0379S) "Medical Waiver and Consent" - Tennessee (English/Spanish)

Rate (4.8 / 5) 38 votes
Size: 68 KB
2 pages

Form C-39 (LB-0968) "Application for Registration for Utilization Review Organization" - Tennessee

Rate (4.6 / 5) 65 votes
Size: 83 KB
1 page

Form C-47 (LB-1017) "Medical Payment Committee Review Request" - Tennessee

Rate (4.7 / 5) 53 votes
Size: 100 KB
1 page

Form I-13 (LB-0290) "Notice of Withdrawal of a Previously Signed Waiver" - Tennessee

Rate (4.8 / 5) 37 votes
Size: 74 KB
1 page

Form I-15 (I-17; LB-0301) "General Contractor Acceptance/Termination of Coverage Agreement" - Tennessee

Rate (4.5 / 5) 24 votes
Size: 78 KB
1 page

Form C-22 (LB-0024) "Notice of First Payment of Compensation" - Tennessee

Rate (4.5 / 5) 23 votes
Size: 19 KB
1 page

Form C-36 (C-37; LB-0375) "Utilization Review Closure" - Tennessee

Rate (4.7 / 5) 14 votes
Size: 72 KB
2 pages

Form C-43 (LB-0988) "Permanent Total Disability Final Order" - Tennessee

Rate (4.5 / 5) 10 votes
Size: 99 KB
1 page

Form LB-385 "Request to Resume Mediation" - Tennessee (English/Spanish)

Rate (4.5 / 5) 10 votes
Size: 1 MB
4 pages

Form LB-385 "Request to Resume Mediation" - Tennessee

Rate (4.4 / 5) 31 votes
Size: 239 KB
2 pages

Form C-35A (LB-1023) "Notice of Appeal Rights for a Utilization Review Denial" - Tennessee

Rate (4.5 / 5) 49 votes
Size: 158 KB
3 pages

Form RSA (LB-0932) "Request for Settlement Approval" - Tennessee

Rate (4.3 / 5) 27 votes
Size: 189 KB
2 pages

Form C-42G "Employee's Choice of Physician" - Tennessee

Rate (4.5 / 5) 58 votes
Size: 102 KB
1 page

Form LB-0441 "Report to Determine Status - Application for Employer Number" - Tennessee

Rate (4.6 / 5) 10 votes
Size: 409 KB
4 pages

Form LB-0355 "Child Labor Parental Statement of Consent" - Tennessee

Rate (4.7 / 5) 32 votes
Size: 136 KB
1 page

Form LB-3304 "Request for Investigation" - Tennessee

Rate (4.9 / 5) 7 votes
Size: 125 KB
1 page

Form LB-3304 "Request for Investigation" - Tennessee (English/Spanish)

Rate (4.3 / 5) 7 votes
Size: 136 KB
2 pages

Form LB-1111 "Drug Free Workplace Program Application" - Tennessee (English/Spanish)

Rate (4.6 / 5) 26 votes
Size: 267 KB
2 pages

Form LB928A "Physician Application for Appointment to the Certified Physician Program (Cpp) and/or Medical Impairment Rating (Mir) Registries" - Tennessee

Rate (4.5 / 5) 23 votes
Size: 200 KB
2 pages

Form LB-3298 "Application for Amusement Device Operating Permit" - Tennessee

Rate (4.5 / 5) 29 votes
Size: 1 MB
5 pages

Form LB-1111 "Drug Free Workplace Program Application" - Tennessee

Rate (4.7 / 5) 72 votes
Size: 316 KB
1 page

Form LB-0386 "Application for License to Engage in the Erection, Repair, and/or Alteration of Boilers and Pressure Vessels in the State of Tennessee" - Tennessee

Rate (4.3 / 5) 19 votes
Size: 172 KB
3 pages

Form LB1095 "Petition for Benefit Determination" - Tennessee (English/Spanish)

Rate (4.3 / 5) 13 votes
Size: 3 MB
9 pages

Form LB-1098 "Hearing Request" - Tennessee

Rate (4.7 / 5) 75 votes
Size: 280 KB
2 pages

Form LB1120 "Petition for Benefit Determination - Settlement Approval Only" - Tennessee

Rate (4.6 / 5) 24 votes
Size: 486 KB
1 page

Form LB-0441 "Report to Determine Status Application for Employer Number" - Tennessee

Rate (4.6 / 5) 82 votes
Size: 2 MB
4 pages