Form Lb 0922 PDF Details

Form Lb 0922 is a tax form that is used to report any income that was generated from the sale of real property. This form must be filed by individuals, partnerships, and corporations who have sold a piece of real estate within the state of California. The deadline for filing this form is April 15th of the following year. There are a number of specific details that must be reported on Form Lb 0922, so it is important to understand the requirements before completing the form. For more information on this topic, please consult a qualified tax professional. Thank you for your interest in our blog!

QuestionAnswer
Form NameForm Lb 0922
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestennessee form lb 0922 template, 2020 lb 0922 fillable form, tennessee compensation, tn division workers compensation

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TENNESSEE WORKERS’ COMPENSATION INSURANCE

POSTING NOTICE

How to Report Work-Related Injuries

What should be done if injured at work?

Employee

1.Immediately report the injury to the employer representative named below.

2.Select a treating physician from a panel provided by your employer.

Employer

1.Complete your company’s internal “Workplace Injury form” and notify your workers’ compensation insurance company immediately, even if you have concerns about the validity of the claim.

3.If you have questions or problems, contact the employer representative or the Bureau of Workers’ Compensation.

2.Offer a panel of physicians to the employee via Form C-42 available on the

Bureau’s website. In cases of emergency, call an ambulance and provide this form as soon as the injured employee has stabilized.

___________________________________________________________________________________

Printed name and title of the employer representative to be notified in the event of a work-related injury

___________________________________________________________________________________

Printed name of an alternative employer representative to be notified in the event of a work-related injury

___________________________________________________________________________________

Telephone number of employer representative to notify in event of a work-related injury

___________________________________________________________________________________

Address of employer representative to notify in event of a work-related injury

The Tennessee Bureau of

220 French Landing Dr. 1-B

Nashville, TN 37243-2667

Workers’ Compensation is

800-332-2667

available to help both

employees and employers.

615-532-4812 TTD: 800-332-2257

 

tn.gov/workerscomp

Workers’ Compensation law requires this notice to be posted in a conspicuous place at the work site at all times.

LB-0922 (REV. 4/18)

Authorization No. 337545

RDA 10183