Form LB-0369 (C-32) Standard Form Medical Report for Industrial Injuries - Tennessee

Form LB-0369 (C-32) Standard Form Medical Report for Industrial Injuries - Tennessee

What Is Form LB-0369 (C-32)?

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-0369 (C-32)?
A: Form LB-0369 (C-32) is the Standard Form Medical Report for Industrial Injuries in Tennessee.

Q: Who uses Form LB-0369 (C-32)?
A: This form is used by medical professionals, employers, and insurance companies in Tennessee.

Q: What is the purpose of Form LB-0369 (C-32)?
A: The purpose of this form is to report and document medical information related to industrial injuries in Tennessee.

Q: Do I need to file Form LB-0369 (C-32) for an industrial injury in Tennessee?
A: Yes, if you have an industrial injury in Tennessee, you or your medical professional should complete and file this form.

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Form Details:

  • Released on November 1, 2017;
  • 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 fillable version of Form LB-0369 (C-32) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form LB-0369 (C-32) Standard Form Medical Report for Industrial Injuries - Tennessee

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