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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: 18 December 2013
Contact: • 812-855-4847

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and a provider of ADA services.

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