Request to Transfer Existing Coverage to Succeeding Employer Forms
| Form Name | Request to Transfer Existing Coverage to Succeeding Employer |
| Form # | BWC 7621, U-115 |
| Form Revision | (Rev. July 24, 2024) |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |