Form LB928A Physician Application for Appointment to the Certified Physician Program (Cpp) and / or Medical Impairment Rating (Mir) Registries - Tennessee

What Is Form LB928A?

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.

Form Details:

• Released on May 1, 2022;
• 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 LB928A by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.