Get the free FORM C-42 TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE ...

If the employer provides this panel Dr. Gibran Naddy/ Core Physicians 931-490-1100 PHYSICIAN S NAME PHONE 1114 West 7th Street 38401 Columbia TN 931-388-4114 Dr. Further if the injury or illness requires the treatment of a physician or surgeon who practices orthopedic or neuroscience medicine the employer may appoint a panel practicing orthopedic or neuroscience medicine consisting of 5 physicians with no more than 4 physicians affiliated in practice. FORM C-42 TENNESSEE DEPARTMENT OF LABOR...

How to fill out form c-42 tennessee department

How to fill out form c-42 tennessee department

1. Start by obtaining a copy of the form C-42 from the Tennessee Department.
2. Read the instructions provided with the form carefully to understand the information requested.
3. Gather all the necessary documents and information that are required to fill out the form.
4. Begin filling out the form by entering your personal details such as name, address, and contact information.
5. Proceed to fill out the specific sections or questions as indicated on the form.
6. Provide accurate and complete information to ensure the form is correctly filled out.
7. If you encounter any difficulties or have questions, refer to the provided instructions or contact the Tennessee Department for assistance.
8. Once you have finished filling out the form, review it thoroughly to ensure all information is accurate and no sections are left blank.
9. Sign and date the form where required.
10. Make a copy of the completed form for your records before submitting it to the Tennessee Department.

Who needs form c-42 tennessee department?

1. Form C-42 from the Tennessee Department may be required by individuals who need to provide specific information or apply for certain services.
2. Examples of those who may need this form include individuals applying for specific permits, licenses, or certifications.
3. It is important to consult the Tennessee Department or the specific requirements to determine if form C-42 is necessary for your situation.

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