Form LB-0928 Physician Application for Appointment to the Medical Impairment Rating (Mir) Registry - Tennessee

Form LB-0928 Physician Application for Appointment to the Medical Impairment Rating (Mir) Registry - Tennessee

What Is Form LB-0928?

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-0928?
A: Form LB-0928 is the Physician Application for Appointment to the Medical Impairment Rating (MIR) Registry in Tennessee.

Q: What is the purpose of the MIR Registry?
A: The MIR Registry is designed to provide a list of qualified physicians who can perform medical impairment ratings.

Q: Who can use Form LB-0928?
A: Physicians who wish to apply for appointment to the MIR Registry in Tennessee can use Form LB-0928.

Q: Are there any eligibility requirements to apply for the MIR Registry?
A: Yes, physicians must meet specific eligibility requirements outlined in the instructions of Form LB-0928.

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Form Details:

  • Released on November 1, 2015;
  • 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 printable version of Form LB-0928 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Labor and Workforce Development.

Download Form LB-0928 Physician Application for Appointment to the Medical Impairment Rating (Mir) Registry - Tennessee

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