Indiana § 22-3-3-10.5 Permanent partial impairment agreement; supporting documentation;
payment of compensation; civil penalty

Indiana Statutes

§ 22-3-3-10.5 — Permanent partial impairment agreement; supporting documentation; payment of compensation; civil penalty

Indiana § 22-3-3-10.5

Art. 3WORKER'S COMPENSATION SYSTEM

Ch. 3Worker's Compensation: Notice of Injury; Treatment;

This text of Indiana § 22-3-3-10.5 (Permanent partial impairment agreement; supporting documentation; payment of compensation; civil penalty) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 22-3-3-10.5 (2026).

Text

5.

(a)The following must be tendered to an employee not later than fifteen (15) days after the date of the physician's statement described in subdivision (2):

(1)A proposed permanent partial impairment agreement.

(2)The associated physician's statement required by IC 22-3-3-6(e).

(3)The employee waiver of examination.

(4)A hand/foot chart, if necessary.

(b)A permanent partial impairment agreement signed by the employee, along with the supporting documentation listed in subsection

(a), must be submitted to the worker's compensation board for approval not later than fifteen (15) days after the date of receipt from the employee.

(c)Not later than thirty (30) days after the date the worker's compensation board approves the permanent partial impairment agreement, one (1) of the following

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5. (a) The following must be tendered to an
employee not later than fifteen (15) days after the date of the
physician's statement described in subdivision (2):
(1) A proposed permanent partial impairment agreement.
(2) The associated physician's statement required by IC 22-3-3-6(e).
(3) The employee waiver of examination.
(4) A hand/foot chart, if necessary.
(b) A permanent partial impairment agreement signed by the
employee, along with the supporting documentation listed in subsection
(a), must be submitted to the worker's compensation board for approval
not later than fifteen (15) days after the date of receipt from the
employee.
(c) Not later than thirty (30) days after the date the worker's
compensation board approves the permanent partial impairment
agreement, one (1) of the following amounts must be paid:
(1) The first weekly installment of compensation for permanent
partial impairment.
(2) The lump sum, if the compensation is to be paid in a lump
sum amount.
(d) An employer that fails to comply with subsection (c) is subject
to a civil penalty under IC 22-3-4-15.