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Tennessee Bureau of Workers Compensation 220 French Landing Drive, IB Nashville, TN 372431002 FORM C42EMPLOYEES CHOICE OF PHYSICIAN An employer must provide a partially completed form listing at least
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How to fill out work comp employeremployee choice
How to fill out work comp employeremployee choice
01
Obtain the necessary forms from your employer or state workers' compensation board.
02
Fill out the form with your personal information, including your name, address, and contact information.
03
Indicate whether you are choosing to be covered as an employee or an independent contractor.
04
Sign and date the form, then submit it to your employer or the workers' compensation board.
Who needs work comp employeremployee choice?
01
Workers who want to choose between being classified as an employee or an independent contractor for work comp coverage.
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What is work comp employeremployee choice?
Work comp employer-employee choice refers to a program that allows employees to choose their own healthcare providers for work-related injuries while also giving employers a voice in the decision.
Who is required to file work comp employeremployee choice?
Employers who have employees that are covered by workers' compensation insurance are required to file work comp employer-employee choice.
How to fill out work comp employeremployee choice?
To fill out work comp employer-employee choice, employers must complete a specific form provided by their state's workers' compensation board, detailing the employer's selected providers and giving employees the option to choose their own providers.
What is the purpose of work comp employeremployee choice?
The purpose of work comp employer-employee choice is to facilitate better healthcare options for injured workers while ensuring that employers maintain some level of control over the treatment process.
What information must be reported on work comp employeremployee choice?
Information that must be reported includes the names of the healthcare providers, their contact information, and any specific agreements between employers and employees regarding healthcare choices.
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