Workers Compensation Forms for all 50 States | State Forms and Information | Claimwire: Workers' Compensation Resource for Forms and Information

Register Login

Tennessee Forms

120 State Forms found

name	number	revision	print or send online
FINAL MEDICAL REPORT	FORM C-30A / LB-0383	(REV 1/17)
EMPLOYER'S FIRST REPORT OF WORK INJURY OR ILLNESS	LB-0021	(REV. 02/23)
ABATEMENT FORM	No Form Number	No Form/Rev Date
EMPLOYEE’S CHOICE OF PHYSICIAN	Form C-42 / LB-0382	(REV 03/2025)
EMPLOYEE’S CHOICE OF PHYSICIAN (Spanish)	FORMULARIO C-42 / LB-0382	(REV 3/25)
LEASED OPERATOR OR OWNER OPERATOR ELECTION/TERMINATION OF COVERAGE	COMBINED FORM I-14 & I-16 / LB-0300	(REV 8/16)
GENERAL CONTRACTOR ACCEPTANCE/TERMINATION OF COVERAGE AGREEMENT	COMBINED FORM I-15 & I-17 / LB-0301	(REV 11/15 )
REQUEST TO MIR PROGRAM FOR A MEDICAL IMPAIRMENT RATING	LB-0930	(REV 1/18)
DISCONTINUED BY STATE, REPLACED WITH ID 9834 - PHYSICIAN APPLICATION FOR APPOINTMENT TO THE MEDICAL IMPAIRMENT RATING (MIR) REGISTRY	LB-0928 - DEACTIVATED	Rev 11/15
CASE MANAGEMENT CLOSURE	Form C-34 / LB-0377	(REV. 05/23)
CASE MANAGEMENT NOTIFICATION	FORM C-33 / LB-0376	(05/23)
APPLICATION FOR CASE MANAGER REGISTRATION	FORM C-38 / LB-0965	(REV06/23)
CERTIFICATE OF INSURER	LB-0043 / Form I-1	(REV.12/07)
DISCONTINUED BY STATE, REPLACED WITH ID 2713 - CERTIFICATE OF READINESS	LB-0973 - DEACTIVATED	Revised 12/2013
NOTICE OF ELECTION	FORM I-4 / LB-0228	(REV 6/17)

1
2
3
4
5
6
7
8

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.