Associate Member

Those who have an interest in the Worker’s Compensation law but for those not eligible to be a member. This membership is individual and does not cover other company employees or members. (IWCI no longer offers memberships covering more than one individual. Memberships are not transferable.) RENEWABLE ANNUALLY BY PAYMENT RECEIPT DATE.

Price:

$125

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone:* Phone is Required

Chapter:* Chapter is Required

Company:* Company is Required

Position: Position is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Membership Pay Standard

Pay via your PayPal account

Pay By Check

To pay by check, please make checks payable to IWCI and mail them to:
IWCI
PO Box 90320
Indianapolis IN 46290

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Indiana Worker's Compensation Institute

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