Worker's Compensation Board of Indiana

THIS IS QA/TEST SYSTEM

Accident Tracking

Adjustment of Claim

Search Type:
Is Filed Publicly?

Reviewed By:

Filed / Updated From Date: To Date:

AdjustmentOfClaimID	JCN #	Disputed No	Employee Name	Date of Birth	Date of Injury	Change of Condition	User Submitted	Filed / Updated Date	Assigned To
686	2094346		Fredon Jamshedi	01/01/2001	09/20/2023	No	[email protected]	08/07/2025	[email protected]
687	2163765		Chad Redden	06/21/1971	07/16/2024	No	[email protected]	08/07/2025	[email protected]
688	2245120		Christopher Ramos	04/14/1986	03/29/2025	No	[email protected]	08/07/2025	[email protected]
689			Christopher Ramos	04/14/1986	07/29/2025	No	[email protected]	08/07/2025	[email protected]

JCN	Date of Injury	First Name	Last Name	Date of Birth	Action