Tennessee Workers' Compensation Settlement Forms

State:
Tennessee
Control #:
TN-CC06-01
Format:
PDF
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A02 Affidavit of Worker accepting the Settlement
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How to fill out Tennessee Affidavit Of Worker Accepting The Settlement?

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FAQ

The compensation period is determined by multiplying 450 weeks times the assigned impairment rating or 180 days after the employee reaches maximum medical improvement, whichever is later. (The 180 day contingency applies only to claims with a date of injury on or after June 22, 2020.)

How Long Does It Take to Reach a Settlement for Workers' Comp? The entire settlement processfrom filing your claim to having the money in your handscan take around 12-18 months depending on the details of your case and whether or not you have legal representation.

When a physician determines that you have a permanent injury, the physician will assign an impairment rating. The impairment rating represents the loss caused by the injury. The impairment rating is then multiplied by 450 to determine how long your benefits will be paid (this is called the compensation period).

To calculate the correct amount of Permanent Partial Disability (PPD) benefit, impairment rating percentage is multiplied by the maximum number of weeks assigned to the specific member of the body or body as a whole.

The weekly amount of these benefits will be two-thirds of your average weekly wage before you were injured, up to a legal maximum that's tied to Tennessee's statewide average weekly wage in the year of your injury. For injuries that happen from July 2020 through June 2021, the maximum is $1,093.40 per week.

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Tennessee Workers' Compensation Settlement Forms