Form C-42 (LB-0382S) Employee's Choice of Physician - Tennessee (English / Spanish)

Form C-42 (LB-0382S) Employee's Choice of Physician - Tennessee (English / Spanish)

What Is Form C-42 (LB-0382S)?

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 C-42 (LB-0382S)?
A: Form C-42 (LB-0382S) is a document titled Employee's Choice of Physician - Tennessee (English/Spanish).

Q: What is the purpose of Form C-42 (LB-0382S)?
A: The purpose of Form C-42 (LB-0382S) is for an employee in Tennessee to choose their preferred physician for an injury or illness.

Q: Is Form C-42 (LB-0382S) available in both English and Spanish?
A: Yes, Form C-42 (LB-0382S) is available in both English and Spanish.

Q: Who can use Form C-42 (LB-0382S)?
A: Form C-42 (LB-0382S) can be used by employees in Tennessee who need to select a physician for a work-related injury or illness.

Q: Do I have to fill out Form C-42 (LB-0382S) if I have a work-related injury or illness in Tennessee?
A: Yes, if you have a work-related injury or illness in Tennessee, it is advisable to fill out Form C-42 (LB-0382S) to select your preferred physician.

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Form Details:

  • Released on February 1, 2020;
  • 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 C-42 (LB-0382S) by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form C-42 (LB-0382S) Employee's Choice of Physician - Tennessee (English / Spanish)

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