Ind. Code § 27-2-16-3
(a) All preprinted claim forms provided by an insurer to a claimant that are required as a condition of payment of a claim must contain a statement that clearly states in substance the following:
"A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony.".
As added by P.L.193-1991, SEC.1. Amended by P.L.181-2005, SEC.1; P.L.174-2021, SEC.24.