Document Tag: Attorney and Pro Se Claimant Forms

IC Form 1023 (only complete at the Commission’s request)

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IC Form 1022 (only complete at the Commission’s request)

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Subpoena (IC-1007)

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Answer to Workers’ Compensation Complaint (IC-1003)

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Workers’ Compensation Complaint (IC-1001)

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Mediation Request Form

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Change of Physician, Employer/Insurer Response Form

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Change of Physician, Claimant Request Form

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Complaint Against Industrial Special Indemnity Fund (IC-1002)

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Claimant Attorney Disclosure Statement

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