Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

What Is Form SI-28 (BWC-7228)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 7, 2020;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SI-28 (BWC-7228) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

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