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Description of form c 42
FORM C-42 TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Division of Workers Compensation 220 French Landing Dr. Nashville Tennessee 37243-1002 AGREEMENT BETWEEN EMPLOYER/EMPLOYEE CHOICE OF PHYSICIAN It is a crime to knowingly provide false incomplete or misleading information to any party to a workers compensation transaction for the purpose of committing fraud. Penalties include imprisonment fines and...
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