State Form 55310 Certification of Insurance Carrier as to Number of Workers' Compensation Policies Written or Renewed - Indiana

State Form 55310 Certification of Insurance Carrier as to Number of Workers' Compensation Policies Written or Renewed - Indiana

What Is State Form 55310?

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 55310?
A: State Form 55310 is a certification form used in Indiana to verify the number of workers' compensation policies written or renewed by an insurance carrier.

Q: Who uses State Form 55310?
A: State Form 55310 is used by insurance carriers in Indiana.

Q: What is the purpose of State Form 55310?
A: The purpose of State Form 55310 is to certify the number of workers' compensation policies written or renewed by an insurance carrier in Indiana.

Q: When is State Form 55310 used?
A: State Form 55310 is used when an insurance carrier needs to certify the number of workers' compensation policies they have written or renewed.

Q: Is State Form 55310 specific to Indiana?
A: Yes, State Form 55310 is specific to Indiana and is used to certify workers' compensation policies written or renewed in the state.

Q: Are there any fees associated with State Form 55310?
A: No, there are no fees associated with State Form 55310.

Q: Are there any deadlines for submitting State Form 55310?
A: Yes, State Form 55310 must be submitted annually by March 1st.

Q: What information is required on State Form 55310?
A: State Form 55310 requires the insurance carrier's name, address, policy year, and the number of workers' compensation policies written or renewed in Indiana.

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Form Details:

  • Released on June 1, 2013;
  • 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 55310 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.

Download State Form 55310 Certification of Insurance Carrier as to Number of Workers' Compensation Policies Written or Renewed - Indiana

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