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 Form 38911?
A: Form 38911 is the Report of Temporary Total Disability (TTD) / Temporary Partial Disability (TPD) Termination in Indiana.
Q: What is the purpose of Form 38911?
A: The purpose of Form 38911 is to report the termination of temporary total disability (TTD) or temporary partial disability (TPD) benefits.
Q: Who needs to fill out Form 38911?
A: Form 38911 needs to be completed by the employer or insurance carrier when temporary disability benefits are terminated.
Q: When should Form 38911 be filed?
A: Form 38911 should be filed within 30 days of the termination of temporary disability benefits.
Q: Are there any fees associated with filing Form 38911?
A: No, there are no fees associated with filing Form 38911.
Q: What information is required on Form 38911?
A: Form 38911 requires information about the employee, employer, insurance carrier, and details about the termination of temporary disability benefits.
Q: What happens after filing Form 38911?
A: After filing Form 38911, the Indiana Workers' Compensation Board will review the information and process the termination of temporary disability benefits.
Q: Is it mandatory to fill out Form 38911?
A: Yes, it is mandatory to fill out Form 38911 when terminating temporary disability benefits in Indiana.
Form Details:
Download a fillable version of State Form 38911 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.