State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

What Is State Form 54475?

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.

FAQ

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.

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Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the Indiana Gaming Commission;
  • 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 54475 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Indiana Gaming Commission.

Download State Form 54475 Physical Examination Report for Boxer or Mixed Martial Artist - Indiana

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