State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

What Is State Form 38911?

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 Form 38911?A: Form 38911 is the Report of Temporary Total Disability (TTD) / Temporary Partial Disability (TPD) Termination in Indiana.

Q: What is the purpose of Form 38911?A: The purpose of Form 38911 is to report the termination of temporary total disability (TTD) or temporary partial disability (TPD) benefits.

Q: Who needs to fill out Form 38911?A: Form 38911 needs to be completed by the employer or insurance carrier when temporary disability benefits are terminated.

Q: When should Form 38911 be filed?A: Form 38911 should be filed within 30 days of the termination of temporary disability benefits.

Q: Are there any fees associated with filing Form 38911?A: No, there are no fees associated with filing Form 38911.

Q: What information is required on Form 38911?A: Form 38911 requires information about the employee, employer, insurance carrier, and details about the termination of temporary disability benefits.

Q: What happens after filing Form 38911?A: After filing Form 38911, the Indiana Workers' Compensation Board will review the information and process the termination of temporary disability benefits.

Q: Is it mandatory to fill out Form 38911?A: Yes, it is mandatory to fill out Form 38911 when terminating temporary disability benefits in Indiana.

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Form Details:

  • Released on January 1, 2014;
  • 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 38911 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Indiana Workers' Compensation Board.

Download State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana

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  • State Form 38911 Report of Temporary Total Disability (Ttd) / Temporary Partial Disability (Tpd) Termination - Indiana, Page 1
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