State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

What Is State Form 38911?

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 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.

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Form Details:

  • Released on January 1, 2014;
  • 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 38911 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.

Download State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

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  • State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana, Page 1
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