IPEP
  • About
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    • How IPEP Works
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IPEP Newsletters, Safety Alerts and Training Invitations for current members

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Stay Connected with

IPEP Newsletters, Safety Alerts and Training Invitations for current members

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Email*
Select an Option:*

Reporting Procedures

Indiana Reporting Requirements

EMPLOYEE IS INJURED

If Injury results in death or overnight hospital stay call IPEP immediately at 800-382-8837.

COMPLETE FORMS AND SUBMIT TO IPEP

1. FIRST REPORT OF INJURY(Completed by Employer)

2. SUPERVISOR'S INCIDENT REPORT(Completed by Employer)

3. MEDICAL AUTHORIZATION FORM(Completed by Employee)

[email protected]

fax 765-868-3310

IS TREATMENT REQUIRED?

IPEP Reporting Procedures

Print Guide

Toll Free 800.382.8837

Phone 765.457.9161

Fax 765.868.3310

Email [email protected]

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IPEP is an Indiana not-for-profit corporation organized in December 1989. Its purpose is to operate a self-funded group program for the purpose of satisfying the obligations of the members under the Indiana Workers' Compensation Act, the Indiana Workers' Occupational Diseases Act and the Indiana Employers' Liability Act. Membership in IPEP is limited to political subdivisions and governmental entities of the State of Indiana.