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University Human Resources

Home > Workers' Comp > Employer Notification for Treatment Form

Employer Notification for Treatment Form

Electronic notification for Bloomington and IUPUI campuses

To access use your IU Network ID user name and passphrase:


All other campuses

Download and print PDF of Notification for Treatment form:


Page updated: 24 February 2015
Contact: • 812-855-4847

Indiana University is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without
regard to race, color, ethnicity, religion, age, sex, sexual orientation or identity, national origin, disability status, or protected veteran status.
This institution is also a provider of ADA services.