Indiana's Association for Work Comp Professionals
 
Indiana Worker's Compensation Institute, Inc.
 
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Application
 

IWCI MEMBERSHIP APPLICATION...

     Category of Membership:     (active or associate)

  • Please note that Memberships are $25.00/year
  • and Associate Memberships are $50.00/year

     Type of Membership:     

     IWCI currently has four chapters in the State of Indiana, they are;

 

  • Indianapolis
  • Southwest - Evansville
  • Northeast - Fort Wayne
  • Northwest - Merrillville

Chapter of Choice:    

Member Information

Name:
Company Name:
Mailing Address:
City: State: Zip Code:
Phone Number:
Email address:
Date Submitted:
 

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