Form LB-1016 (C-44) Request for Administrative Review of a Workers' Compensation Specialist's Order - Tennessee

Form LB-1016 (C-44) Request for Administrative Review of a Workers' Compensation Specialist's Order - Tennessee

What Is Form LB-1016 (C-44)?

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 Form LB-1016 (C-44)?
A: Form LB-1016 (C-44) is a request form for administrative review of a Workers' Compensation Specialist's order in Tennessee.

Q: What is the purpose of Form LB-1016 (C-44)?
A: The purpose of Form LB-1016 (C-44) is to request an administrative review of a Workers' Compensation Specialist's order.

Q: Who can use Form LB-1016 (C-44)?
A: Anyone who wants to request an administrative review of a Workers' Compensation Specialist's order in Tennessee can use Form LB-1016 (C-44).

Q: Is there a deadline for submitting Form LB-1016 (C-44)?
A: Yes, there is a deadline for submitting Form LB-1016 (C-44). It must be submitted within fifteen days after receiving the Workers' Compensation Specialist's order.

Q: What should I include when submitting Form LB-1016 (C-44)?
A: When submitting Form LB-1016 (C-44), you should include your name, contact information, the case number, and a detailed explanation of why you are requesting an administrative review.

Q: What happens after I submit Form LB-1016 (C-44)?
A: After you submit Form LB-1016 (C-44), the Tennessee Department of Labor and Workforce Development will review your request and make a decision based on the information provided.

Q: Can I appeal the decision made after submitting Form LB-1016 (C-44)?
A: Yes, if you disagree with the decision made after submitting Form LB-1016 (C-44), you have the right to appeal to the Tennessee Workers' Compensation Appeals Board.

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Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Tennessee Department of Labor and Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form LB-1016 (C-44) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form LB-1016 (C-44) Request for Administrative Review of a Workers' Compensation Specialist's Order - Tennessee

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  • Form LB-1016 (C-44) Request for Administrative Review of a Workers Compensation Specialists Order - Tennessee, Page 1
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