Fill and Sign United States Legal Forms

This form is used for releasing sensitive information in the state of Ohio.

This form is used for reporting on a substance abuse treatment program's aftercare activities in Ohio.

This form is used for reporting medication information in the state of Ohio. It is used to document the medications prescribed and administered to a patient.

This Form is used for reporting on substance abuse treatment programs in Ohio.

This form is used for obtaining a completion letter for a Registered Nurse program in the state of Ohio.

This Form is used for listing healthcare practitioners in Ohio who provide treatment. It helps to keep track of the healthcare professionals available in the state.

This form is used for requesting a completion letter for a sample program in Ohio.

This document is for individuals seeking an Advanced Practice Registered Nurse (APRN) license in the state of Ohio. It outlines the application process and requirements for obtaining the license.

This form is used for reporting labor lease transaction payroll information in the state of Ohio.

This form is used for requesting to add/change or terminate a permanent authorization in the state of Ohio.

This type of document is a BWC-0503 (AC-3) Temporary Authorization for Information Review - Ohio in Spanish.

Formulario BWC-1115 es utilizado para presentar una apelación sobre la resolución alternativa de disputa (ADR) de una decisión de servicio/tratamiento médico de la Organización de Cuidados Administrados (MCO) en Ohio.

This form is used for self-insurers in Ohio to agree on compensation payments in the event of a death.

This document for workers in Ohio who want to waive their worker's compensation benefits in order to participate in recreational or physical activities.

This form is used for self-insured employers in Ohio to certify the assignment after the initial allowance. It is necessary for employers to provide this certification to ensure proper handling of workers' compensation claims.

This form is used for State Fund employers in Ohio to agree to accept a claim assignment.

This Form is used for requesting corrections to employer and/or policy number assignments in Ohio.

This Form is used for providing notice of intent to settle a case in Ohio. It is also known as Form C-512 (BWC-1488).

This Form is used for applying for an adjudication hearing in Ohio.

This form is used for settling claims against employers in Ohio who have failed to comply with workers' compensation requirements.

This Form is used for applying for a Representative Identification Number (RIN) in Ohio. RINs are required for representatives who will be electronically filing documents on behalf of clients with the Ohio Bureau of Workers' Compensation (BWC).

This Form is used for the Employer Incentive Contract in Ohio.

This form is used for self-insured employers and injured workers in Ohio to conduct screening for the Statewide Disability Evaluation System.

This Form is used for submitting the initial report of a work-related injury, occupational illness, or death in Ohio.

This Form is used for submitting the Division of Safety & Hygiene Group Experience and Group-Retrospective Rating Safety Requirements Annual Report in Ohio.

This Form is used for applying for adjustment of a claim in Ohio when the cause of death is an occupational disease.