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Indiana Workers Compensation First Report of Employee
Indiana Workers Compensation. First Report of Employee Injury/Illness. Please Return Completed Form to: 402 W. Washington St, Room W1 96. Indianapolis, IN
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INSTRUCTIONS
INDIANA WORKERS COMPENSATION. FIRST REPORT OF EMPLOYEE INJURY, ILLNESS. State Form 34401 (R10 / 1-02). FOR WORKERS COMPENSATION BOARD USE ONLY. Jurisdiction.
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Injury Compensation for Federal Employees Publication
The FECA (5 U.S.C. 8101 et seq.) provides compensation benefits to civilian employees of the United States for disability due to personal injury or disease
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