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 35 State Forms found

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Waiver of Workers’ Compensation Benefits for Recreational or Fitness Activities

 BWC-1286 C-159 (Rev. June 6, 2024)

Application for Adjudication Hearing

 BWC-3515 LEGAL-15 (May 21, 2024)

Transitional Work Grant Agreement

 BWC-3102 TWG-3 (Rev. Oct. 17, 2023)

Application for Exemption from Ohio Workers' Coverage and Waiver of Benefits

 BWC-7614 U-3E (March 4, 2025)

Pre-audit Questionnaire

 BWC-7664 U-158 (Rev. Nov. 28, 2023)

Request for Business Transfer Information

 BWC-0504 AC-4 (Rev. May 13, 2024)

Claimant Authorized Representative (Spanish)

 BWC-6102 R-2-ES (Rev. Dec. 27, 2013)

Presumption of Causation for Firefighter Cancer

 BWC-1397 C-265 (Rev. March 8, 2024)

Notice of Intent to Settle (C-512)

 BWC-1488 C-512 (Rev. Feb. 29, 2024)

Fall Protection in Construction Supplemental Questions

 BWC-7666 U-160 (Rev. May 6, 2024)

NOTICE OF APPEAL

 IC 12, OIC 1012 (Rev. 02/17)

REQUEST FOR CORRECTED ORDER

 IC 13, OIC 1013 (Rev. 04/15)

REQUEST FOR CANCELLATION

 IC50, OIC 1050 (Rev. 02/12)

REQUEST FOR CONTINUANCE

 IC51, OIC 1051 Rev. (05/14)

REQUEST FOR .522/.52 RELIEF

 IC52, OIC 3050 (Rev. 02/12)
Disclaimer: These forms may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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