State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

What Is State Form 34873?

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 34873?A: State Form 34873 is an agreement between parties for a lump sum payment in the state of Indiana.

Q: Who uses State Form 34873?A: Anyone who wants to enter into an agreement for a lump sum payment in Indiana can use State Form 34873.

Q: What is a lump sum payment?A: A lump sum payment is a one-time payment of a specific amount of money instead of a series of smaller payments over time.

Q: What is the purpose of the agreement?A: The agreement establishes the terms and conditions of the lump sum payment, including the payment amount, due date, and any other relevant terms.

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Form Details:

  • Released on April 1, 2012;
  • 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 34873 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Indiana Workers' Compensation Board.

Download State Form 34873 Agreement Between Parties for Lump Sum Payment - Indiana

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