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Notice 4/2/20 The agency has received numerous questions regarding worker’s compensation coverage for employees who contract Covid-19, particularly those on the front lines. In Indiana, workers’ compensation benefits are paid by employers, not the State. Under our laws, the State cannot tell employers they must automatically cover employees who contract Covid-19.
A: Worker’s compensation is an accident insurance program paid by your employer which may provide you with medical, rehabilitation and income benefits if you are injured on the job. These benefits are provided to help you return to work. It also provides benefits to your dependents if you die as the result of a job-related injury.
Worker's Compensation Board of Indiana 402 West Washington Street Room W-196 Indianapolis, Indiana 46204. Phone Numbers and Email Addresses. Chairman (317) 232-3811 : Linda Hamilton: Executive Administrator (317) 232-3811 : Mary Taivalkoski: Fiscal Manager (317) 232-3822 : Dirinda Asher: Paralegal
Worker's Compensation Notice (Spanish) Find Information. State Information Live Chat. Email State Information Center. Find a Person. Find an Agency. Call: 1-800-457-8283. Text: 1-888-311-1846. Quick Information.
Request for Assistance. 45442. Application for Worker's Compensation Clearance Certificate (English) 45889. Application for Worker's Compensation Clearance Certificate (Spanish) 55718. Notice of Inability to Determine Liability / Request for Additional Time **. 48557. Application for Second Injury Fund Benefits.
Worker's Compensations Board of Indiana 11 Articles. Worker's Compensations Board of Indiana. As an injured worker can I be reimbursed for mileage? What benefits are available to injured workers under the Worker's Compensation Act?
Indianapolis, IN 46206. For more information regarding a Worker’s Compensation Exemption Clearance Certificate, contact DOR at 317-232-5977, Monday through Friday, 8 a.m. - 4:30 p.m. ET. Find more information on this certificate from the Worker’s Compensation Board of Indiana, including access to the paper form.
Disputed Claims. Disputes not resolved through the Informal Dispute Resolution process may only move forward if an Application for Adjustment of Claim (SF 29109) is filed. The case is then assigned to a Single Hearing Member of the Worker's Compensation Board for determination of all unresolved issues. The Application for Adjustment of Claim ...
Three types: Wage replacement benefit normally at 2/3 of wages. Medical care to address workplace injuries. If not returned to pre-injury condition following medical treatment, monetary benefit based on impairment rating from physician. For more information contact: WCB 317-232-3808, compliance@wcb.in.gov. Three types: Wage replacement benefit ...
Confirm First Report Filing. Forms. Request for Assistance - SF 45442 (Informal Assistance) Application for Adjustment of Claim - SF 29109 (Formal Hearing Process) Application for Review by Full Board - SF 1042. Application for Second Injury Fund Benefits - SF 51247. Request for Prosthetic Repair or Replacement - SF 51702. 2nd Injury Fund.