Indiana Application for Second Injury Fund Benefits is an application used to apply for financial assistance for employers that have suffered additional costs due to the re-injury or aggravation of an on-the-job injury of an employee. This program is funded by the Second Injury Fund, which is administered by the Indiana Workers' Compensation Board. There are two types of Indiana Application for Second Injury Fund Benefits: the Employer’s Application and the Employee’s Application. The Employer’s Application is used by the employer to submit the claim to the Indiana Workers’ Compensation Board, including details of the prior injury, the new injury, and the estimated costs associated with both. The Employee’s Application is used by the employee to provide information about the current injury and prior injury, and to give their authorization for the Indiana Workers’ Compensation Board to obtain medical records and other information.
Indiana Application for Second Injury Fund Benefits is an application used to apply for financial assistance for employers that have suffered additional costs due to the re-injury or aggravation of an on-the-job injury of an employee. This program is funded by the Second Injury Fund, which is administered by the Indiana Workers' Compensation Board. There are two types of Indiana Application for Second Injury Fund Benefits: the Employer’s Application and the Employee’s Application. The Employer’s Application is used by the employer to submit the claim to the Indiana Workers’ Compensation Board, including details of the prior injury, the new injury, and the estimated costs associated with both. The Employee’s Application is used by the employee to provide information about the current injury and prior injury, and to give their authorization for the Indiana Workers’ Compensation Board to obtain medical records and other information.
