Breadcrumbs IDOI Current: Surcharge Rates / Calculation Sheets Surcharge Rates / Calculation Sheets Surcharges RatesPhysicians and Hospitals Nursing HomesOther Health Care ProvidersReporting Endorsement FactorsCalculation Sheets/FormsHospital_Calculation_Sheet_2024-2025 Nursing_Home_Calc_Sheet_2024-2025Hospital_Calculation_Sheet_2021-2024Nursing_Home_Calc_Sheet_2021-2024Locum Tenens Calculation Sheet Self-Insured Hospital Filing InstructionsPCF Certificate of Insurance FormPCF Certificate of Insurance Form - Editable PDF