State Form 53913 Employee Waiver of Examination by Personal Physician - Indiana

What Is State Form 53913?

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 53913?
A: State Form 53913 is the Employee Waiver of Examination by Personal Physician form in Indiana.

Q: What does the form waive?
A: The form waives the requirement for an employee to undergo an examination by their personal physician.

Q: Who is this form for?
A: This form is for employees in Indiana who wish to waive the examination requirement through their personal physician.

Q: Can any employee in Indiana use this form?
A: Yes, any employee in Indiana can use this form to waive the examination by their personal physician.

Q: Is this form mandatory?
A: No, this form is optional and allows employees to waive the examination requirement through their personal physician.

Q: Is there a deadline for submitting this form?
A: The deadline for submitting the Employee Waiver of Examination by Personal Physician form may vary depending on the specific requirements of your employer or the state department.