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Worker's Compensation Board of Indiana

THIS IS QA/TEST SYSTEM

Anonymous Reporting


This form is to be used to report employers for not carrying a Worker's Comp Insurance policy. If you think you are being denied benefits by your employer for other reasons, please contact a case coordinator. Contact information can be found here.
Please note that your name and e-mail address are optional elements. If provided, we will keep you apprised of the progress of our investigation.