Tennessee Department of Labor and Workforce Development Forms

This form is used for reporting safety or health hazard complaints in Tennessee.

This form is used for the annual inspection of amusement devices in Tennessee. It ensures the safety of these devices for public use.

This form is used for filing an affidavit in Tennessee regarding the Trade Affected Separating Employer as part of the RTAA (Reemployment Trade Adjustment Assistance) program.

This document is used to request a medical impairment rating from the Mir Program in Tennessee. It is used to assess the severity of a medical impairment for the purpose of determining benefits or compensation.

This form is used for requesting benefits from the Uninsured Employers Fund in Tennessee.

This form is used for reporting the status of State and Local Government entities in Tennessee.

This form is used for requesting eligibility for Reemployment Trade Adjustment Assistance (RTAA) in Tennessee.

This form is used for reporting the status of nonprofit organizations, private primary and secondary schools in Tennessee.

Este formulario se utiliza para realizar una revisión de elegibilidad para el programa de Resea en Tennessee en español.

This document is a Spanish version of the Form LB-1021SP used in Tennessee for applicants to declare their residency.

This type of document is used for Resea Control in Tennessee. It is in Arabic language.

This form is used for the eligibility review of research programs in Tennessee and is available in Arabic.

This document is used for applying to become a certified adjusting entity in the state of Tennessee.

This form is used to petition for a benefit determination in Tennessee. It is available in both English and Spanish.

This form is used for filing a complaint related to a violation of the Tennessee Lawful Employment Act. It allows individuals to report suspected illegal employment practices.

This form is used for verifying employment for the monthly wage supplement in the state of Tennessee.

This form is used for case management notifications in Tennessee.

This document is used for an employee in Tennessee to choose their physician. It is available in English and Spanish.

This document is a request for a quick or urgent hearing in the state of Tennessee. It is used when the requester needs a hearing to be scheduled and resolved as soon as possible.

This document is used for filing a notice of appeal in Tennessee.

This form is used for filing a Notice of Appeal in Tennessee. It is used to initiate the appeals process in the state court system.

This form is used for authorizing payroll deductions in Tennessee.

This Form is used for employers in Tennessee to elect to be designated as a seasonal employer.

This Form is used for notifying the primary liaison and adjusters involved in processing or supervising workers' compensation claims in Tennessee.

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.

This form is used for the Trade Adjustment Assistance (TAA) Program in Tennessee. It is a statement for individuals receiving financial support for training under the TAA program.

This form is used for stating one's willingness to commute in the state of Tennessee.

This document is used in Tennessee to notify changes or termination of compensation benefits.

This form is used for learners who want to notify the state of Tennessee about their election preferences. It is available in both English and Spanish.

This form is used for requesting a hearing in Tennessee. It is available in both English and Spanish.