WCB Mission Statement
To provide efficient dispute resolution for injured workers and employers by administering both formal adjudication and informal dispute resolution services; to serve the public by answering inquiries regarding the Indiana Worker's Compensation system; and to collect statistical information regarding workplace injuries in Indiana.
News and Notices
Notice: Effective May 21, 2012, the Worker's Compensation Board of Indiana will require that all filings be made on the most recent State form. These forms are available on our website and notice will be given via e-mail to our newsletter subscribers when a form has been amended. Filings made on outdated forms will be rejected and may subject the filer to penalties related to tardiness. For questions or assistance with forms, please contact Alan Buckley or Dirinda Asher.
Clarification Regarding Report of Attending Physician Form: As of this date, usage of the new State Form 2118, Report of Attending Physician, shall not be mandatory.
The new SF 2118 is clear, concise and, most importantly, relevant to how PPI awards are accurately calculated for approval. Adjusters will ultimately be required to use it, as well as the electronic versions of SF 1043 and 38911, in the upcoming year. However, the Board will give advance notice of this requirement.
Physicians will not be asked to complete this form but should use it as a guideline while dictating their own. We do encourage all interested parties to begin using this form, to which the physician’s dictated report can be attached, as soon as practicable. Thank you for your consideration and support.
Notice: The Board is hereby and immediately requesting that all Agreement to Compensation (SF 1043), Notice of Suspension of Medical Benefits (SF 54217), Notice of Denial of Benefits (SF 53914) and Request for Additional Time (SF 48557) forms be proceeded by an electronically filed First Report of Injury (FROI). Failure to do so will result in the rejection of your form. This is an administrative ruling.
Notice: Please note that ALL balanced bill provider fee applications must be accompanied by the $60 filing fee. The presence of an existing application for adjustment of claim has no bearing on this mandate. Balanced bill provider fee applications received since 7/1/2011 are subject to this fee and will not be processed unless accompanied by said payment.
