State Form 2118Physician's Report
Issued by Indiana Workers' Compensation Board
Physician's Report (State Form 2118) — state-prescribed clinician report used by the state workers’ comp agency.
Key facts
Clinicians fill out · Submitted to regulator · Employers file
- When it’s used
- Per state requirements
- Who fills it out
- Treating physician of record
- Who signs
- Authorized treating physician.
- Where it goes
- unspecified
- Electronic submission
- Supported — Forms marked with asterisk must be submitted via approved EDI 3.1 process; hardcopy submissions rejected for those forms
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
Indiana Workers' Comp Board
VerifiedOpenStatute
IC §22-3 (Workers' Comp)
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (IN). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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The regulatory information presented on BlueHive Compliance Watch is provided for general informational purposes only and should not be construed as legal advice. While we strive to maintain accurate and up-to-date information, regulations can change rapidly and may be subject to interpretation.
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- Review the full text of any regulation cited herein
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