State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

What Is State Form 54475?

This is a legal form that was released by the Indiana Gaming Commission - 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 54475?
A: State Form 54475 is a Physical Examination Report for Boxer or Mixed Martial Artist in Indiana.

Q: Who needs to fill out State Form 54475?
A: Boxers or mixed martial artists in Indiana need to fill out State Form 54475.

Q: What is the purpose of State Form 54475?
A: The purpose of State Form 54475 is to provide a physical examination report for boxers or mixed martial artists.

Q: Is State Form 54475 specific to Indiana?
A: Yes, State Form 54475 is specific to Indiana.

Q: Can I use State Form 54475 for any other sport?
A: No, State Form 54475 is specifically for boxers or mixed martial artists.

Q: What information is required on State Form 54475?
A: State Form 54475 requires information such as personal details, medical history, and examination results.

Q: Do I need a doctor to fill out State Form 54475?
A: Yes, a licensed physician or advanced practice nurse must fill out State Form 54475.

Q: Are there any fees associated with State Form 54475?
A: There may be fees associated with the physical examination conducted by the physician.

Q: Do I need to submit State Form 54475 before participating in boxing or mixed martial arts events?
A: Yes, State Form 54475 must be submitted before participating in such events.

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Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the Indiana Gaming Commission;
  • 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 54475 by clicking the link below or browse more documents and templates provided by the Indiana Gaming Commission.

Download State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

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