Form LB-3284 Request for Benefits From the Uninsured Employers Fund - Tennessee

What Is Form LB-3284?

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-3284?
A: Form LB-3284 is the Request for Benefits From the Uninsured Employers Fund in Tennessee.

Q: What is the Uninsured Employers Fund?
A: The Uninsured Employers Fund in Tennessee is a program that provides benefits to workers who are injured while working for an employer who does not have workers' compensation insurance.

Q: Who can file a request for benefits using Form LB-3284?
A: Workers who are injured while working for an employer without workers' compensation insurance can file a request for benefits using Form LB-3284.

Q: What benefits does the Uninsured Employers Fund provide?
A: The Uninsured Employers Fund provides medical and disability benefits to eligible workers who are injured while working for an uninsured employer.

Q: How do I file a request for benefits using Form LB-3284?
A: To file a request for benefits using Form LB-3284, you must complete the form and submit it to the Tennessee Bureau of Workers' Compensation.

Q: Are there any deadlines for filing a request for benefits?
A: Yes, there are deadlines for filing a request for benefits. You should file the form as soon as possible after your injury, but no later than one year from the date of your accident.

Q: Is there a fee to file a request for benefits using Form LB-3284?
A: No, there is no fee to file a request for benefits using Form LB-3284.