Form LB-0930 Request to Mir Program for a Medical Impairment Rating - Tennessee

Form LB-0930 Request to Mir Program for a Medical Impairment Rating - Tennessee

What Is Form LB-0930?

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-0930?
A: Form LB-0930 is a request form to the Mir Program for a Medical Impairment Rating.

Q: Who can use Form LB-0930?
A: This form can be used by individuals in Tennessee who want to request a Medical Impairment Rating.

Q: What is the Mir Program?
A: The Mir Program is a program in Tennessee that provides Medical Impairment Ratings.

Q: What is a Medical Impairment Rating?
A: A Medical Impairment Rating is an evaluation of the extent of permanent impairment caused by a medical condition or injury.

Q: Why would someone request a Medical Impairment Rating?
A: A person may request a Medical Impairment Rating in order to evaluate the impact of a medical condition or injury on their ability to work or perform certain tasks.

Q: Are there any requirements or eligibility criteria to use Form LB-0930?
A: Yes, there may be certain requirements or eligibility criteria that need to be met in order to use Form LB-0930. These requirements and criteria can be found on the form itself or by contacting the Mir Program.

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Form Details:

  • Released on January 1, 2018;
  • 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-0930 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form LB-0930 Request to Mir Program for a Medical Impairment Rating - Tennessee

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