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Indiana Workers Comp Forms

Find Indiana state workers' compensation forms and helpful coverage guides.

We offer free access to the most common forms needed relating to Indiana Workers Compensation Insurance. We strive to keep these forms up to date and accurate. It is important that you confirm with the state website to ensure you are using the most up to date versions of these forms.

As with all the information we provide about state workers comp rules please verify the accuracy of this information with the Iowa Department of Workers Compensation.

We want to be your go to resource for all information relating to workers compensation insurance in the state of Indiana. If you have any questions about any of these forms feel free to contact one of our Workers Comp Specialists at 888-611-7467. If you are ready you can start a quote online today.

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Need an IN Form? Call 888-611-7467 for an Indiana Workers Compensation Specialist

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Indiana Acord 130 Workers Compensation Application.

The standard Acord 130 application form for workers comp coverage in Indiana.

Indiana First Report of Injury Form.

First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Indiana Application for Exclusion of Officers and Stockholders.

Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.

Indiana Application for Exemption for Workers' Compensation Insurance.

Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.

Facts for Injured Workers In Indiana.

Information about workers compensation in Indiana for workers and employers.

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Indiana Workers' Compensation Employee Notice Requirements

Employers must tell their employees that they carry workers’ compensation insurance by providing a written notice of coverage to new employees upon hire.

Indiana Workers Compensation Benefits Poster - English

Indiana Workers Compensation Benefits Poster - Spanish

Employers must also post a written notice at their place of business telling their employees that they carry workers’ compensation insurance. The notice must be in English, Spanish, and any other language that is common to the employees and must be posted at conspicuous locations at the employers’ place of business.

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State Resources for Indiana

Indiana Department Of Insurance

311 W. Washington, Ste. 300
Indianapolis, IN 46204

IWorker's Compensation Board of Indiana

402 West Washington Street Room W-196

Workers compensation insurance is required by law for Indiana employers.

Indiana forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Indiana.

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Learn more about workers compensation insurance in Indiana Work Comp:   Indiana | IN Programs| IN Rates | IN Forms | IN Info | IN Quotes
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Our agency specializes in workers comp insurance and we have streamlined the process to make it fast and easy to qualify for the best rates and premiums in Indiana.

Give one of our Indiana workers compensation Specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

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