Indiana Code Title 22. Labor and Safety § 22-14-3-3

(A) the applicant's full name and address;

(B) the full name and address of each of the applicant's partners (if the applicant is a partnership), members or managers, if any (if the applicant is a limited liability company), and principal officers (if the applicant is a corporation);

(C) an indication of whether the applicant is an owner, lessee, occupant, or agent for the place covered by the application;

(D) a description of the place covered by the application, including a description of every building and room covered by the application; and

(E) any information required under the commission's rules;