This version of the form is not currently in use and is provided for reference only. Download this version of State Form 54217 for the current year.
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 54217?
A: Form 54217 is the Notice of Suspension of Compensation and/or Benefits in Indiana.
Q: When is Form 54217 used?
A: Form 54217 is used when there is a suspension of compensation and/or benefits.
Q: Who uses Form 54217?
A: Form 54217 is used by the state of Indiana.
Q: What does Form 54217 notify?
A: Form 54217 notifies about the suspension of compensation and/or benefits.
Form Details:
Download a fillable version of State Form 54217 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.