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.
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.
Form Details:
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.