Form C-20 (LB-0021) Employer's First Report of Work Injury or Illness - Tennessee

What Is Form C-20 (LB-0021)?

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-20?
A: Form C-20, also known as LB-0021, is the Employer's First Report of Work Injury or Illness in Tennessee.

Q: Who needs to complete Form C-20?
A: Employers in Tennessee need to complete Form C-20 when an employee experiences a work injury or illness.

Q: What is the purpose of Form C-20?
A: Form C-20 is used to report work-related injuries or illnesses to the Tennessee Department of Labor and Workforce Development.

Q: What information is required on Form C-20?
A: Form C-20 requires information about the injured or ill employee, the employer, and details about the injury or illness.

Q: When should Form C-20 be filed?
A: Form C-20 should be filed as soon as possible after the work injury or illness occurs.

Q: Do I need to provide any supporting documentation with Form C-20?
A: It may be necessary to provide supporting documentation, such as medical records, with Form C-20 depending on the circumstances.

Q: Are there any deadlines for submitting Form C-20?
A: While there are no specific deadlines for submitting Form C-20, it is recommended to file it promptly to ensure compliance with workers' compensation requirements.

Q: What are the consequences of not filing Form C-20?
A: Failure to file Form C-20 may result in penalties or legal consequences for the employer.

Q: Is Form C-20 only for work injuries or illnesses in Tennessee?
A: Yes, Form C-20 is specifically for reporting work injuries or illnesses that occurred in Tennessee.