State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

What Is State Form 34873?

This is a legal form that was released by the Indiana Workers' Compensation Board - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is State Form 34873?
A: State Form 34873 is an agreement between parties for a lump sum payment in the state of Indiana.

Q: Who uses State Form 34873?
A: Anyone who wants to enter into an agreement for a lump sum payment in Indiana can use State Form 34873.

Q: What is a lump sum payment?
A: A lump sum payment is a one-time payment of a specific amount of money instead of a series of smaller payments over time.

Q: What is the purpose of the agreement?
A: The agreement establishes the terms and conditions of the lump sum payment, including the payment amount, due date, and any other relevant terms.

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Form Details:

  • Released on April 1, 2012;
  • The latest edition provided by the Indiana Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 34873 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.

Download State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

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