Form AC-28 (BWC-0529) Request to Charge the Surplus Fund for Non-at-Fault Motor Vehicle Accident - Ohio

Form AC-28 (BWC-0529) Request to Charge the Surplus Fund for Non-at-Fault Motor Vehicle Accident - Ohio

What Is Form AC-28 (BWC-0529)?

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 May 19, 2021;
  • 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;
  • Download a printable version of Form AC-28 (BWC-0529) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

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Download Form AC-28 (BWC-0529) Request to Charge the Surplus Fund for Non-at-Fault Motor Vehicle Accident - Ohio

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  • Form AC-28 (BWC-0529) Request to Charge the Surplus Fund for Non-at-Fault Motor Vehicle Accident - Ohio, Page 1
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