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This form is used for requesting a provider fee for assistance in the state of Indiana.
This form is used for employees in Indiana to waive the requirement of an examination by their personal physician.
This form is used for reporting the termination of temporary total disability (TTD) or temporary partial disability (TPD) in the state of Indiana.
This Form is used for notifying workers about their coverage for worker's compensation and occupational diseases in the state of Indiana.
This form is used for applying for a refund of municipal vehicle excise or wheel tax in the state of Indiana.
This Form is used to apply for health coverage in the state of Indiana.
This document outlines the VOC and toxics compliance test protocol for businesses in Indiana. It provides guidelines for testing and monitoring air emissions to ensure compliance with state regulations.
This checklist form is used in Indiana to ensure the completeness of a remediation completion report. It helps to ensure that all necessary information and documentation is included in the report.
This form is used for monthly chlorite monitoring in the state of Indiana.
This form is used for certifying professional engineers who are constructing geomembrane lined liquid manure storage structures in the state of Indiana.
This form is used for applying to register a waste tire storage site in the state of Indiana.
This form is used for renewing annual bingo licenses in Indiana.
This Form is used for the certification of the informational program for the public education and outreach Mcm in Indiana.
This Form is used for completing the New System Questionnaire in the state of Indiana.
This document is used for applying for a boxer's federal identification card in the state of Indiana.
This form is used for first-time applicants in Indiana who want to apply for an annual raffle.
This document is used for reporting the summary of raffle events on a daily, weekly, and monthly basis in the state of Indiana.
This Form is used for reporting incidents of exposure to blood or body fluids in the state of Indiana. It is important for healthcare professionals to notify the appropriate authorities to ensure proper follow-up and prevention of potential infections.
This document is used for withdrawing a student from an accredited nonpublic school located in Indiana.
This Form is used for conducting an interim performance appraisal for employees in the state of Indiana.
This Form is used for applying to the Environmental Stewardship Program in Indiana. It provides instructions on how to complete the application for the program.
This form is used for applying for the process information application for site remediation in Indiana.
This form is used for reporting confidential cases of sexually transmitted diseases (STDs) in the state of Indiana.
This document is used for applying for a permit to construct a Satellite Manure Storage Structure (SMSS) in Indiana.
This document is used for making a reimbursement claim for tuberculosis treatment at a hospital in Indiana.
This form is used for the Adoption Matching Program in Indiana. It collects information about the birth parent's contact preferences in the adoption process.
This form is used for submitting an event summary report for a raffle in the state of Indiana.
This Form is used for certification of insurance carriers in Indiana to report the number of workers' compensation policies they have written or renewed. It helps the state track the insurance coverage provided to workers in case of job-related injuries or illnesses.
This Form is used for reporting consumer's use tax owed by individuals and businesses in the state of Indiana. It is used to report tax on purchases made from out-of-state retailers where sales tax was not collected.
This form is used for claiming a refund of inheritance and estate taxes in the state of Indiana.