Official Workers' Compensation form in pdf format.
Knoxville Tennessee Request for Assistance for Workers' Compensation
Category:
State:
Tennessee
City:
Knoxville
Control #:
TN-C40-WC
Format:
Word;
PDF;
Rich Text
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Description
How to fill out Tennessee Request For Assistance 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.
The entire settlement process?from filing your claim to having the money in your hands?can take around 12-18 months depending on the details of your case and whether or not you have legal representation.
If the disability lasts fourteen (14) days or longer, benefits will be paid back to the first day of disability. Temporary disability benefits are usually two-thirds (?) of your average weekly wages earned during the 52 weeks prior to the injury. The Bureau of Workers' Compensation does not pay these benefits.
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.
Compensation Rates DatesMini Rate% of Avg Wk Wage for Temporary7/1/21 - 6/30/22$159.00110.00%7/1/20 - 6/30/21$149.10110.00%7/1/19 - 6/30/20$144.00110.00%7/1/18 - 6/30/19$139.35110.00%29 more rows
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).
An injury that has occurred anywhere not recognized/declared as the place of business as per the terms of the contract. An injury caused by war or associated perils. Any disease caused by war or associated perils. An injury that does not lead to fatality or partial disability after 3 days will not cover.
Do I get paid if I'm injured in a work accident? While you do have some rights after being injured at work, there is no obligation on any employer to pay a staff member their full standard salary if they are off work due to illness or injury ? even if it was caused by an accident at work, or materials used at work.
There are two main types of benefits: medical care for work-related injuries and illnesses; and, partial wage replacement for employees who are unable to work; or continue to work but earn less pay while recovering from their injuries.
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.
