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.
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.
Form Details:
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.