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 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.
Form Details:
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.