Self-Insureds Must Dot Their I’s on New Application Forms, Board Says

Indiana's workers' compensation board has released new application forms and guidelines for self-insurers, and the agency is urging employers to make sure they complete the form in full.

“All of the attachments and additional information requested in item 7 must be provided,” the board said in a bulletin. "Incomplete applications cannot be processed and will not be approved."

Item 7 on the application lists attachments that should accompany the application, including a financial statement, training documentation, surety bonds or security to be posted, and experience modification information for the last three years, and other information.

The cost is $250, which must accompany the application. The completed applications are due by July 31, and late submissions are subject to fine, the board said.

This article was first published by Work Comp Central.

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