Please Note: for Claims assistance or questions about coverage and exemptions You will need to call one of the numbers listed below.
Also be aware that the Workers' Compensation Assistance Offices in different states may go by different names such as "Industrial Accidents".
These are the only numbers that we are aware of and have available for Indiana Workers' Compensation.
Department of Insurance - Commissioner Amy L. Beard - General Number: 317-232-2385
Records Division: 317-232-7225
Clerk of the Appellate Courts: 317-232-1930
WCB Executive Administrator Mary Taivalkoski: 317-232-3811
WCB Paralegal Darren Dye: 317-233-3384
WC Case Coordinator Beth Wallace: 317-233-3908
WCB Provider Fee/Intake Division: 317-232-5922
OSHA - Indiana State Plan: 317-232-2693
Forms & Publications
Welcome to the most extensive library of workers' compensation forms available anywhere.
Almost 3,600 forms are available for your immediate download and use. Our forms, all of which have been custom
programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.
Try a Forms Membership! If you have an ongoing need for multiple forms,
and want complete and unrestricted access to our entire 3,000 "Type & Save"
Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of
our forms updating system, making sure the forms they use are the most current available.
= Indicates this Type & Save form is available for individual purchase.
= FlashFormSSL Enabled.
Click here to learn more about auto-populating forms with FlashForm SSL.
Some "Revision Dates" may be displayed as part of the Description.
As of 2/19/2021, SF 36097 can be submitted to the Board electronically.
Effective 4/19/2021, paper submissions of SF 36097 will no longer be accepted by the Board and those sent in or dropped off will be destroyed. Please update your current submission process from mailing in SF 36097 to online submission.
**Please note that all forms marked by asterisks are required to be submitted online via the Forms Portal. Forms submitted to the Board in hard copy prior to being submitted online will be rejected.