Form C-42 (LB-0382) Employee's Choice of Physician - Tennessee

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

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-0382)?
A: Form C-42 (LB-0382) is Employee's Choice of Physician form.

Q: What is the purpose of Form C-42 (LB-0382)?
A: The purpose of Form C-42 (LB-0382) is for employees in Tennessee to choose their own physician for workers' compensation cases.

Q: Who needs to fill out Form C-42 (LB-0382)?
A: Employees in Tennessee who have a workers' compensation case and want to choose their own physician need to fill out Form C-42 (LB-0382).

Q: How do I fill out Form C-42 (LB-0382)?
A: Form C-42 (LB-0382) requires basic personal information and the name and address of the chosen physician. It must be signed and dated by the employee.