Forms/Laws
  • Home /
  • Tennessee Forms

Tennessee Forms

Change State
Select Report Type  
 

 120 State Forms found

name number revision print or send online

DISCONTINUED BY STATE, REPLACED WITH ID 2683 - Epilepsy Waiver

 I-12 / LB-0046 - DEACTIVATED REV. 12/07

FINAL REPORT OF PAYMENT AND RECEIPT OF COMPENSATION

 LB-0020 / FORM C-29 REV. 12/07

NOTICE OF WAIVER OF WORKERS’ COMPENSATION BENEFITS FOR SPECIFIC MEDICAL CONDITIONS

 LB-0030 / COMBINED FORM I-10, FORM I-11, FORM I-12 (REV 11/15)

MEDICAL PAYMENT COMMITTEE REVIEW REQUEST

 FORM C-47 / LB-1017 (REV 11/24)

MEDICAL IMPAIRMENT RATING (MIR) MEDICAL WAIVER AND CONSENT

 LB-0929 (REV 9/16)

MEDICAL IMPAIRMENT RATING (MIR) REPORTAMA GUIDES™, 5TH EDITION

 LB-0931 (REV 11/15)

MEDICAL IMPAIRMENT RATING (MIR) REPORT AMA GUIDES™, 6TH EDITION

 LB-0931A (rev 01/20)

STANDARD FORM MEDICAL REPORT FOR INDUSTRIAL INJURIES

 Form C-32 / LB-0369 (REV 11/17)

MEDICAL WAIVER AND CONSENT

 FORM C-31 / LB-0379 (REV 11/15)

MEDICAL WAIVER AND CONSENT (Spanish)

 FORMULARIO C-31/LB-0379s (REV 11/15)

NOTICE OF ACCEPTANCE OF THE "TENNESSEE WORKERS' COMPENSATION ACT" BY AN EXEMPTED EMPLOYER

 FORM I-8 / LB-0014 (REV. 5/18)

NOTICE OF APPEAL

 LB-0897 Rev. 04-11

NOTICE OF CANCELLATION OR REINSTATEMENT OR ENDORSEMENT

 FORM I-2 / LB-0004 (REV.12/07)

NOTICE OF CHANGE OR TERMINATION OF COMPENSATION BENEFITS

 FORM C-26 / LB-0285 (rev. 4/18)

NOTICE OF CORPORATE OFFICER TO EMPLOYER OF ELECTION NOT TO ACCEPT PROVISIONS OF WORKERS’ COMPENSATION ACT OF TENNESSEE

 FORM I-6 / LB-0090 (REV 6/17)
Disclaimer: These forms may not be the most recent version. Tennessee may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
Loading results ...
Origami Risk
1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com
© 2025 Origami Risk. All Rights Reserved.