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FORM C42 TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Division of Workers\' Compensation 220 French Landing Dr. Nashville, Tennessee 372431002 AGREEMENT BETWEEN EMPLOYER/EMPLOYEE CHOICE

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What is section 50-6-204?

Section 50-6-204 is a legal provision related to workers' compensation in the state of Tennessee, outlining the process for reporting workplace injuries.

Who is required to file section 50-6-204?

Employers who are subject to workers' compensation laws and wish to report an injury or illness sustained by their employees are required to file section 50-6-204.

How to fill out section 50-6-204?

To fill out section 50-6-204, you need to provide detailed information about the injured employee, the circumstances of the injury, medical treatment received, and any other relevant details as specified in the form.

What is the purpose of section 50-6-204?

The purpose of section 50-6-204 is to ensure proper documentation and reporting of workplace injuries to facilitate workers' compensation claims and compliance with state regulations.

What information must be reported on section 50-6-204?

Information that must be reported on section 50-6-204 includes the employee's name, date of injury, nature of the injury, details of the incident, medical treatment provided, and any witness accounts.

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