Related links
A Guide to Indianas Workers Compensation
Workers compensation is an insurance system that provides benefits to employees when they suffer work- related injuries and illnesses.
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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.
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INDIANA WORKERS COMPENSATION FIRST REPORT
An employers failure to report an occupational injury or illness may result in a S50 fine (IC 22-3-4-13).
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