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Reset Form INDIANA WORKERS COMPENSATION BOARD OMBUDSMAN DIVISION 402 West Washington Street, Room W196 Indianapolis, Indiana 46204 Telephone: (317) 2323808 Toll free: (800) 824COMPREQUEST FOR ASSISTANCE State
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Start by obtaining the ombudsman division form.
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Read the instructions carefully to understand the purpose and requirements of the form.
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Begin filling out the form by providing your personal information such as name, address, and contact details.
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Follow the given format to provide a detailed description of the issue or complaint that you want to address through the ombudsman division.
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Submit the filled-out form to the designated ombudsman division or the concerned authority responsible for handling such matters.
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The ombudsman division of form is a document used to report any complaints or concerns regarding a particular organization or institution.
Any individual who has a complaint or concern about a specific organization or institution may be required to file an ombudsman division form.
To fill out the ombudsman division form, one must provide their contact information, details of the complaint or concern, any supporting documents, and sign the form.
The purpose of the ombudsman division form is to provide a structured way for individuals to report complaints or concerns and seek resolution.
The information that must be reported on the ombudsman division form includes details of the complaint or concern, any supporting documents, and contact information of the individual filing the form.
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