State Form 55310 Certification of Insurance Carrier as to Number of Workers' Compensation Policies Written or Renewed - Indiana

What Is State Form 55310?

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 55310?A: State Form 55310 is a certification form used in Indiana to verify the number of workers' compensation policies written or renewed by an insurance carrier.

Q: Who uses State Form 55310?A: State Form 55310 is used by insurance carriers in Indiana.

Q: What is the purpose of State Form 55310?A: The purpose of State Form 55310 is to certify the number of workers' compensation policies written or renewed by an insurance carrier in Indiana.

Q: When is State Form 55310 used?A: State Form 55310 is used when an insurance carrier needs to certify the number of workers' compensation policies they have written or renewed.

Q: Is State Form 55310 specific to Indiana?A: Yes, State Form 55310 is specific to Indiana and is used to certify workers' compensation policies written or renewed in the state.

Q: Are there any fees associated with State Form 55310?A: No, there are no fees associated with State Form 55310.

Q: Are there any deadlines for submitting State Form 55310?A: Yes, State Form 55310 must be submitted annually by March 1st.

Q: What information is required on State Form 55310?A: State Form 55310 requires the insurance carrier's name, address, policy year, and the number of workers' compensation policies written or renewed in Indiana.