Workers' Compensation & Clinics

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 denial of insurance benefits.

In compliance with the Tennessee Workers' Compensation Law,
T.C.A. Section 50-6-204