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State Form 54217 Notice of Suspension of Compensation and / or Benefits - Indiana
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What Is State Form 54217?
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 54217?
A: Form 54217 is a Notice of Suspension of Compensation and/or Benefits.
Q: What does this form pertain to?
A: This form pertains to the suspension of compensation and/or benefits.
Q: Which state is this form specific to?
A: This form is specific to the state of Indiana.
Form Details:
- 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 54217 by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.
