Tennessee Request for Administrative Review of a WC Specialist's Order Form
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How to fill out Tennessee Request For Administrative Review Of A WC Specialist's Order Form?
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FAQ
Coverage can be verified by visiting the Division of Workers' Compensation home page: . Select the ?Coverage Verification? Link under ?Available Resources?.
Form C-41 Wage Statement. This form enables EMPLOYERS to calculate the correct compensation due to an injured employee. Please complete the form and submit to EMPLOYERS within 5 days after your knowledge of any accident that has caused your employee to be disabled for more than 7 calendar days.
After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.
The Employer Obligations after a Non-workplace Injury Even though the employee has been injured outside of work, the employer still has responsibilities. Employers must allow the employee to take time off work to recover from the injury and undergo medical treatment.
There are several crucial steps that you should take immediately after a work injury occurs. The three steps that are universal are: report the incident, seek medical attention, and speak to an attorney about your workers' compensation claim.
For workers' compensation cases arising in Tennessee, the statute of limitation is generally ?one (1) year after the accident resulting in injury,? ing to Tenn. Code Ann. § 50-6-203.
If you are injured at work, or have a work-related illness: Immediately report any work-related injury to your supervisor. If you require emergency medical treatment, obtain care first, and then notify your supervisor as soon as possible after receiving treatment.
Call the nearest OSHA office. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).