The opinion
FILED
Jan 07, 2020
11:07 AM(ET)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT KNOXVILLE
CHARLES PETTIFORD, ) Docket No. 2019-06-0897
Employee, )
Vv. )
EXPRESS SERVICES, INC., ) State File No. 28048-2018
Employer, )
And )
NEW HAMPSHIRE INSURANCE ) Judge Pamela B. Johnson
COMPANY, )
Carrier. )
COMPENSATION ORDER GRANTING SUMMARY JUDGEMENT
This case came before the Court on January 6, 2020. Express Services moved for
summary judgment on the basis that no genuine issue of material fact exists regarding the
timeliness of the filing of his petition, thereby entitling it to a judgment as a matter of
law. For the reasons below, the Court grants summary judgment and dismisses Mr.
Pettiford’s claim with prejudice.
Procedural History and Material Facts
Mr. Pettiford suffered a right-leg laceration on March 22, 2018, while working for
Express Services. On March 26, Express Services denied Mr. Pettiford’s claims on an
intoxication defense and did not pay any workers’ compensation benefits on his claim.
Mr. Pettiford did not seek further benefits until July 17, 2019, when he filed a Petition for
Benefit Determination (PBD).
Following issuance of the Dispute Certification Notice, Express Services filed this
summary judgment motion on grounds that the one-year statute of limitations barred Mr.
Pettiford’s claim.’ A Statement of Undisputed Material Facts and Memorandum of Law
' Express Services first moved for summary judgment on October 18, 2018, before the Dispute
Certification Notice was filed. The Court denied the motion on November 1, 2019, due to lack of subject-
matter jurisdiction under Tennessee Code Annotated section 50-6-236(d)(3)(A) (2019).
l
accompanied the summary judgment motion.’ Express Services argued it was entitled to
summary judgment because Mr. Pettiford failed to establish that he filed his PBD before
the statute of limitations expired. Mr. Pettiford did not file a response to the motion or
appear for arguments on the motion.
Findings of Fact and Conclusions of Law
Tennessee Rule of Civil Procedure 56.04 (2019) states summary judgment is
appropriate if there is no genuine issue as to any material fact and the moving party is
entitled to judgment as a matter of law. To meet this standard, Express Services must
either submit affirmative evidence to negate an essential element of Mr. Pettiford’s claim
or demonstrate that his evidence is insufficient to establish an essential element of his
claim. Tenn. Code Ann. § 20-16-101; see also Rye v. Women’s Care Ctr. of Memphis,
MPLLC, 477 8.W.3d 235, 264 (Tenn. 2015). If Express Services satisfies its burden,
then Mr. Pettiford “may not rest upon the mere allegations or denials of [his] pleading”
but must respond by producing facts showing a genuine issue for trial. /d.; Tenn. R. Civ.
P. 56.06.
Here, Mr. Pettiford failed to respond to the motion or appear for the motion
hearing. While that failure does not mandate entry of summary judgment, it does prevent
him from disputing any of the facts in Express Services’s statement of material facts. See
United Servs. Inds., Inc. v. Sloan, 1988 Tenn. App. LEXIS 592, *4 (Tenn. Ct. App. Sept.
28, 1988) (“An adverse party’s failure to respond to a motion for summary judgment
does not relieve the moving party of the burden of establishing an entitlement to
judgment as a matter of law; rather, an absence of response only precludes factual
disputes.”).
Express Services established that Mr. Pettiford suffered an injury on March 22,
2018, which it denied on March 26 and paid no workers’ compensation benefits. Mr.
Pettiford did not pursue benefits until he filed his PBD on July17, 2019, more than fifteen
months after his work injury. Express Services argued Mr. Pettiford’s statute of
limitations expired on March 22, 2019.
The Workers’ Compensation Law provides that when the employer has not paid
workers’ compensation benefits, the right to compensation “shall be forever barred,
unless... a petition for benefit determination is filed with the bureau . . . within one year
after the accident resulting in injury.” Tenn. Code Ann. § 50-6-203(b)(1).
The record establishes that Mr. Pettiford suffered a work injury on March 22,
2018, but he did not file his PBD until July 17, 2019, more than one year after his injury.
* Counsel for Express Services sent Mr. Pettiford, who is self-represented, a copy of Tennessee Rules of
Civil Procedure 56 as required by Tennessee Compilation Rules and Regulations 0800-02-21-.18(1)(a)
(August, 2019).
Having carefully reviewed the evidence in a light most favorable to Mr. Pettiford, the
Court concludes Express Services affirmatively negated an essential element of Mr.
Pettiford’s claim. Accordingly, the Court holds Express Services is entitled to summary
judgment as a matter of law.
IT IS, THEREFORE, ORDERED as follows:
1. The Court grants Express Service’s motion for summary judgment and dismisses
Mr. Pettiford’s claim with prejudice to its refiling.
2. Absent an appeal, this order shall become final in thirty days.
3. The Court assesses the $150.00 filing fee against Express Services under
Tennessee Compilation Rules and Regulations 0800-02-21-.06, for which
execution may issue as necessary. Express Services shall pay the filing fee within
five business days of the order becoming final.
4. Express Service shall file a Statistical Data form, form SD-2, with the Court Clerk
via email at we.courtclerk@tn.gov within ten business days of this order becoming
final.
ENTERED January 7, 2020.
3
mie
PAMELA B. JOHNSON, JUDGE
Court of Workers’ Compensation Claims
CERTIFICATE OF SERVICE
I certify that a copy of the Compensation Order Granting Summary Judgment was
sent as indicated on January 7, 2020.
Name U.S. Mail Email Service sent to:
Charles Pettiford, xX xX 715 Fowler Street
Self-Represented Employee Clinton, TN 37716
- epettiford2@aol.com
Gregory H. Fuller, x ghfuller@mijs.com
Peter Frech, ppfrech@mijs.com
Employer’s Attorneys
WC.CourtClerk@tn.gov
LB-1103
COMPENSATION HEARING NOTICE OF APPEAL
Tennessee Division of Workers’ Compensation
www. tn gou/abor-wid/weomnp,shtml
wc.courtclerk@tn.gov
1-800-332-2667
Docket #:
State File #/YR:
Employee
Employer
Notice
Notice is given that
[List name(s) of all appealing party(ies) on separate sheet if necessary]
appeals the order(s) of the Court of Workers’ Compensation Claims at
to the Workers’ Compensation Appeals Board.
[List the date(s) the order(s) was filed in the court clerk’s office]
Judge
Statement of the Issues
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
List of Parties
Appellant (Requesting Party): At Hearing:L_JEmployerL_lEmployee
Address:
Party’s Phone: Email:
Attorney's Name: BPR#:
Attorney's Address: Phone:
Attorney’s City, State & Zip code:
Attorney's Email:
* Attach an additional sheet for each additional Appellant *
rev. 10/18 Page 1 of 2 RDA 11082
Employee Name: SF#: DOI:
Appellee(s)
Appellee (Opposing Party):__ At Hearing:L_Employerl_lEmployee
Appellee’s Address:
Appellee’s Phone: Email:
Attorney’s Name: BPR#:
Attorney’s Address: Phone:
Attorney’s City, State & Zip code:
Attorney’s Email:
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
1, , certify that | have forwarded a true and exact copy of this
Compensation Hearing Notice of Appeal by First Class, United States Mail, postage prepaid, to all
parties and/or their attorneys in this case in accordance with Rule 0800-02-22.01(2) of the Tennessee
Rules of Board of Workers’ Compensation Appeals on this the day of ,20 |
[Signature of appellant or attorney for appellant]
Attention: This form should only be used when filing an appeal to the Workers’ Compensation Appeals
Board. If you wish to appeal a case to the Tennessee Supreme Court, please utilize the form provided by
the Court which can be found on their website at the following address:
http://www.tncourts.gov/sites/default/files/docs/notice of appeal - civil or criminal.pdf
LB-1103 rev. 10/18 Page 2 of 2 RDA 11082
Compensation Hearing Order Right to Appeal:
If you disagree with this Compensation Hearing Order, you may appeal to the Workers’
Compensation Appeals Board or the Tennessee Supreme Court. To appeal to the Workers’
Compensation Appeals Board, you must:
I.
Complete the enclosed form entitled: “Compensation Hearing Notice of Appeal,” and file
the form with the Clerk of the Court of Workers’ Compensation Claims within thirty
calendar days of the date the compensation hearing order was filed. When filing the
Notice of Appeal, you must serve a copy upon the opposing party (or attorney, if
represented).
You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
calendar days after filing of the Notice of Appeal. Payments can be made in-person at
any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the
alternative, you may file an Affidavit of Indigency (form available on the Bureau’s
website or any Bureau office) seeking a waiver of the filing fee. You must file the fully-
completed Affidavit of Indigency within ten calendar days of filing the Notice of
Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will
result in dismissal of your appeal.
You bear the responsibility of ensuring a complete record on appeal. You may request
from the court clerk the audio recording of the hearing for a $25.00 fee. A licensed court
reporter must prepare a transcript and file it with the court clerk within fifteen calendar
days of the filing the Notice of Appeal. Alternatively, you may file a statement of the
evidence prepared jointly by both parties within fifteen calendar days of the filing of the
Notice of Appeal. The statement of the evidence must convey a complete and accurate
account of the hearing. The Workers’ Compensation Judge must approve the statement
of the evidence before the record is submitted to the Appeals Board. If the Appeals
Board is called upon to review testimony or other proof concerning factual matters, the
absence of a transcript or statement of the evidence can be a significant obstacle to
meaningful appellate review.
After the Workers’ Compensation Judge approves the record and the court clerk transmits
it to the Appeals Board, a docketing notice will be sent to the parties. The appealing
party has fifteen calendar days after the date of that notice to submit a brief to the
Appeals Board. See the Practices and Procedures of the Workers’ Compensation
Appeals Board.
To appeal your case directly to the Tennessee Supreme Court, the Compensation Hearing
Order must be final and you must comply with the Tennessee Rules of Appellate
Procedure. If neither party timely files an appeal with the Appeals Board, the trial court’s
Order will become final by operation of law thirty calendar days after entry. See Tenn.
Code Ann. § 50-6-239(c)(7).
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
Tennessee Bureau of Workers’ Compensation
220 French Landing Drive, I-B
Nashville, TN 37243-1002
800-332-2667
AFFIDAVIT OF INDIGENCY
I, , having been duly sworn according to law, make oath that
because of my poverty, | am unable to bear the costs of this appeal and request that the filing fee to appeal be
waived. The following facts support my poverty.
1. Full Name: 2. Address:
3. Telephone Number: 4. Date of Birth:
5. Names and Ages of All Dependents:
Relationship:
Relationship:
Relationship:
Relationship:
6. | am employed by:
My employer’s address is:
My employer's phone number is:
7. My present monthly household income, after federal income and social security taxes are deducted, is:
$
8. | receive or expect to receive money from the following sources:
AFDC $ per month beginning
Ss $ per month beginning
Retirement $ per month beginning
Disability $ per month beginning
Unemployment $ per month beginning
Worker's Comp.$ per month beginning
Other $ per month beginning
LB-1108 (REV 11/15) RDA 11082
9. My expenses are:
Rent/House Payment $ permonth Medical/Dental $ per month
Groceries $ per month Telephone $ per month
Electricity $ per month School Supplies $ per month
Water $ per month Clothing $ per month
Gas $ per month Child Care $ per month
Transportation $ per month Child Support $ per month
Car $ per month
Other $ per month (describe: }
10. Assets:
Automobile $ (FMV)
Checking/Savings Acct. $
House $ (FMV)
Other $ Describe:
11. My debts are:
Amount Owed To Whom
| hereby declare under the penalty of perjury that the foregoing answers are true, correct, and complete
and that | am financially unable to pay the costs of this appeal.
APPELLANT
Sworn and subscribed before me, a notary public, this
day of , 20
NOTARY PUBLIC
My Commission Expires:
LB-1108 (REV 11/15) RDA 11082