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This version of the form is not currently in use and is provided for reference only. Download this version of
State Form 12386-B
for the current year.
State Form 12386-B Certification for Worker's Compensation Carriers - Indiana
What Is State Form 12386-B?
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 12386-B?
A: Form 12386-B is the Certification for Worker's Compensation Carriers in Indiana.
Q: Who needs to fill out Form 12386-B?
A: Worker's compensation carriers in Indiana need to fill out Form 12386-B.
Q: What is the purpose of Form 12386-B?
A: Form 12386-B is used to certify that a worker's compensation carrier is authorized to operate in Indiana.
Q: Is Form 12386-B mandatory?
A: Yes, Form 12386-B is mandatory for worker's compensation carriers in Indiana.
Q: When is Form 12386-B due?
A: The due date for Form 12386-B may vary, so it's important to check with the Indiana Department of Insurance.
Q: Are there any filing fees for Form 12386-B?
A: No, there are no filing fees for Form 12386-B.
Q: What information is required on Form 12386-B?
A: Form 12386-B requires information such as the carrier's name, address, contact information, and authorization details.
Q: How long does it take to process Form 12386-B?
A: The processing time for Form 12386-B may vary, so it's best to contact the Indiana Department of Insurance for more information.
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 printable version of State Form 12386-B by clicking the link below or browse more documents and templates provided by the Indiana Workers' Compensation Board.
