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.
Q: What is Form C-39 (LB-0968)?
A: Form C-39 (LB-0968) is an application for registration for Utilization Review Organization - Tennessee.
Q: What is the purpose of this form?
A: The purpose of this form is to register a Utilization Review Organization in the state of Tennessee.
Q: Who needs to fill out this form?
A: Utilization Review Organizations in Tennessee need to fill out this form.
Form Details:
Download a printable version of Form C-39 (LB-0968) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.