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Workers Compensation for Indiana

  • 1999 2nd Injury Certificate
    File .doc (20.5 Kbytes)
  • 1999 2nd Injury Recommendation
    File .doc (74 Kbytes)
  • 1999 Assessment Notice
    File .doc (34 Kbytes)
  • 1999 Assessment Notice - Addendum
    File .doc (33.5 Kbytes)
  • 2000 2nd Injury Certificate
    File .doc (20.5 Kbytes)
  • 2000 2nd Injury Recommendation
    File .doc (80 Kbytes)
  • 2002 Renewal Application
    File .doc (41.5 Kbytes)
  • 2002 Self Insurance Application
    File .doc (41.5 Kbytes)
  • 2002 Self-insurance Guidelines
    File .doc (38.5 Kbytes)
  • 2nd Injury Fund Certificate
    File .doc (21 Kbytes)
  • Actuarial Study Of The 2nd Injury Fund
    File .doc (509 Kbytes)
  • Agreement To Compensation - Form 1043
    File .pdf (40.9 Kbytes)
  • Application For Adjustment Of Claim - Form 29109
    File .pdf (31.7 Kbytes)
  • Application For Review By Full Board - Form 1042
    File .pdf (27.1 Kbytes)
  • Certificate Of Excess Insurance
    File .doc (21.5 Kbytes)
  • Chapter 1. Workers` Compensation Board
    File .pdf (42.2 Kbytes)
  • Chapter 10. Ban On Employer Waiver Of Liability
    File .pdf (33 Kbytes)
  • Chapter 11. Residual Asbestos Injury Fund
    File .pdf (41.1 Kbytes)
  • Chapter 12. Vocational Rehabilitation
    File .pdf (35.4 Kbytes)
  • Chapter 2. Workers` Compensation: Application, Rights, & Remedies
    File .pdf (100.4 Kbytes)
  • Chapter 3. Workers` Compensation: Notice Of Injury; Treatment; Compensation Schedule; Payments
    File .pdf (207.8 Kbytes)
  • Chapter 4. Workers` Compensation: Administration & Procedures
    File .pdf (69.2 Kbytes)
  • Chapter 5. Workers` Compensation: Insurance Requirements
    File .pdf (61.3 Kbytes)
  • Chapter 6. Workers` Compensation: Miscellaneous Provisions
    File .pdf (58.9 Kbytes)
  • Chapter 7. Workers` Occupational Diseases Compensation
    File .pdf (296.8 Kbytes)
  • Chapter 8. Representation Before Workers` Compensation Board
    File .pdf (30.6 Kbytes)
  • Chapter 9. Employer Liability
    File .pdf (50.6 Kbytes)
  • Compensation Table - Multiple Digits
    File .doc (23 Kbytes)
  • First Report Of Injury - Must Be Sent Electronically To Board
    File .pdf (128.5 Kbytes)
  • Independent Contractor Affidavit. New Changes Effective July 01,2001
    File .doc (28.5 Kbytes)
  • Legislative Changes
    External Link
  • Parental Indemnity Agreement
    File .doc (23 Kbytes)
  • Renewal Guidelines
    File .doc (38.5 Kbytes)
  • Report Of Claim Status/ime Request - Form 38911
    File .pdf (71.8 Kbytes)
  • Request For Assistance - 45442
    File .pdf (39.9 Kbytes)
  • Subsidiary Requirements
    File .doc (31 Kbytes)
  • Surety Bond
    File .doc (26.5 Kbytes)
  • Trucker`s Supplemental Application
    File .doc (23.5 Kbytes)
  • Worker`s Comp Handbook - In Microsoft Word
    File .doc (673 Kbytes)
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