Tennessee employer 2026

1. Click ‘Get Form’ to open the Tennessee Employer form in the editor.
2. Begin by entering the names of three physicians in the designated fields. Ensure that these physicians are reputable and not associated together in practice, as required by Tennessee law.
3. Fill in the street addresses, cities, states, and ZIP codes for each physician. This information is crucial for accurate identification and communication.
4. Indicate your chosen physician from the list provided. Make sure to include the date of injury, date of selection, and date of appointment in their respective fields.
5. Complete the employer's name and employee's name sections along with their addresses and phone numbers.
6. Finally, both the employer and employee must sign the form. Ensure that all signatures are dated appropriately to validate the agreement.

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