Form LB-3263 Notification of Primary Liaison and Adjusters Processing or Supervising Tennessee Workers' Compensation Claims - Tennessee

What Is Form LB-3263?

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-3263?
A: Form LB-3263 is the Notification of Primary Liaison and Adjusters Processing or Supervising Tennessee Workers' Compensation Claims.

Q: What is the purpose of Form LB-3263?
A: The purpose of Form LB-3263 is to notify the Tennessee Department of Labor and Workforce Development about the primary liaison and adjusters involved in processing or supervising workers' compensation claims in Tennessee.

Q: Who should fill out Form LB-3263?
A: Form LB-3263 should be completed by the insurance carrier or self-insured employer responsible for workers' compensation claims in Tennessee.

Q: What information is required on Form LB-3263?
A: Form LB-3263 requires the name, address, telephone number, and email address of the primary liaison and each adjuster processing or supervising workers' compensation claims in Tennessee.

Q: Is there a deadline for submitting Form LB-3263?
A: There is no specific deadline mentioned for submitting Form LB-3263, but it should be filed as soon as possible after the primary liaison and adjusters are assigned to the workers' compensation claims in Tennessee.

Q: Are there any fees associated with filing Form LB-3263?
A: There are no fees mentioned for filing Form LB-3263.

Q: What should I do if there are changes to the primary liaison or adjusters?
A: If there are any changes to the primary liaison or adjusters processing or supervising workers' compensation claims in Tennessee, the insurance carrier or self-insured employer should notify the Tennessee Department of Labor and Workforce Development by submitting an updated Form LB-3263.