Official Workers' Compensation form in pdf format.
Clarksville Tennessee Standard Medical Report for Workers' Compensation
Category:
State:
Tennessee
City:
Clarksville
Control #:
TN-C32-WC
Format:
PDF
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Description
How to fill out Tennessee Standard Medical Report For Workers' Compensation?
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FAQ
No, it is illegal for an employer to fire an employee for reporting a work injury. If an injured employee is fired and believes it was for reporting a work injury, the employee may wish to consult an attorney. The Bureau of Workers' Compensation does not have the authority to resolve wrongful termination claims.
In general, you should receive written notice that your claim was either approved or denied within a few weeks. If you haven't heard from the insurance company, you should contact your insurance adjuster or claims administrator directly.
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.
To calculate the impairment award, the CE multiplies the percentage points of the impairment rating of the employee's covered illness or illnesses by $2,500.00. For example, if a physician assigns an impairment rating of 40% or 40 points, the CE multiplies 40 by $2,500.00, to equal a $100,000.00 impairment award.
For workers' compensation cases arising in Tennessee, the statute of limitation is generally ?one (1) year after the accident resulting in injury,? according to Tenn. Code Ann. § 50-6-203.
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?).
The benefit is 66 and 2/3 percent of the employee's pre-injury average weekly wages and cannot be less than the minimum, or more than the maximum, weekly benefit. It is payable until the employee reaches maximum medical improvement or returns to work or for a period of 450 weeks, whichever is shorter.
Generally, the value of your workers' compensation claim will increase if you require surgery, as it indicates a more serious injury. Because some workers' comp settlements may be considered final, it may be better to settle your claim after you have surgery and have reached maximum medical improvement (MMI).
In Tennessee, an injured employee can only receive workers' compensation disabilty payments for a maximum of 400 weeks.
No payment is made for claims which are made more than 12 months after the accident or death, or more than 12 months after the disease is diagnosed. If a worker is off work for 3 days or less, this is not covered by the Compensation Fund. It may be covered by the worker's medical aid or sick fund.