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  • Tennessee Form C 35a

Get Tennessee Form C 35a

FORM C-35A TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Division of Workers ' Compensation 220 French Landing Dr., 1B Nashville, Tennessee 37243-1002 Website: www.tn.gov/labor-wfd/wcomp.html.

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Permanent Total Disability (PTD Benefits may apply if an employee is unable to return to any job in the open market because of a permanent disability due to a work-related injury. This benefit continues until he/she becomes eligible for old-age retirement under the social security law.

In Tennessee, you need to report your work-related injury to your supervisor within 15 days of the accident (or the date when a doctor first tells you that your injury is work-related) so that the proper forms and paperwork can be completed.

FINAL MEDICAL REPORT. This Report is to be completed by the treating physician and provided to the adjuster or insurance carrier within 21 days of the date the injured worker has reached Maximum Medical Improvement (MMI).

The impairment rating is then multiplied by 450 to determine how long your benefits will be paid (this is called the “compensation period”). The compensation period is then multiplied by 66 2/3% of the average weekly wages you received pre-injury (subject to the state maximum).

Yes, if you are settling your workers' comp claim for a lump sum and still need surgery, the settlement amount should reflect the costs of that upcoming procedure. This should increase your workers' comp settlement amount.

Tennessee Workers' Compensation Maximum Compensation Rate The weekly maximum compensation rate for a Permanent Total Disability and a Permanent Partial Disability is $752.00 (100% of average wages in Tennessee).

Compensation Rates DatesMini Rate% of Avg Wk Wage for Temporary7/1/19 - 6/30/20$144.00110.00%7/1/18 - 6/30/19$139.35110.00%7/1/17 - 6/30/18$135.30110.00%7/1/16 - 6/30/17$133.20110.00%29 more rows

State and local governments and those employing farm laborers or domestic help are exempt from the coverage requirements but may elect to purchase workers' compensation coverage anyway.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232