Form C-39 (LB-0968) Application for Registration for Utilization Review Organization - Tennessee

Form C-39 (LB-0968) Application for Registration for Utilization Review Organization - Tennessee

What Is Form C-39 (LB-0968)?

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 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.

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Form Details:

  • Released on November 1, 2015;
  • 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;
  • Fill out the form in our online filing application.

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.

Download Form C-39 (LB-0968) Application for Registration for Utilization Review Organization - Tennessee

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  • Form C-39 (LB-0968) Application for Registration for Utilization Review Organization - Tennessee, Page 1
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