Form LB-1109 Physician Certification Form - Tennessee

What Is Form LB-1109?

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.

FAQ

Q: What is the Form LB-1109 Physician Certification Form?A: The Form LB-1109 Physician Certification Form is a document used in Tennessee to certify a person's medical condition and need for disability parking placards.

Q: Who needs to fill out the Form LB-1109 Physician Certification Form?A: The Form LB-1109 Physician Certification Form needs to be filled out by a licensed physician or other authorized healthcare professional.

Q: What is the purpose of the Form LB-1109 Physician Certification Form?A: The purpose of the Form LB-1109 Physician Certification Form is to validate an individual's eligibility for disability parking placards in Tennessee.

Q: What information is required on the Form LB-1109 Physician Certification Form?A: The Form LB-1109 Physician Certification Form requires information such as the individual's name, medical condition, and the physician's contact information.