Form BWC-1235 (C-112) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

Form BWC-1235 (C-112) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

What Is Form BWC-1235 (C-112)?

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.

FAQ

Q: What is Form BWC-1235?A: Form BWC-1235 is a form used for the Employer/Employee Agreement to select a state other than Ohio as the state of exclusive remedy for workers' compensation claims.

Q: What is the purpose of Form BWC-1235?A: The purpose of Form BWC-1235 is to allow employers and employees to agree to select a state other than Ohio as the state of exclusive remedy for workers' compensation claims.

Q: What does 'state of exclusive remedy' mean?A: State of exclusive remedy refers to the state whose workers' compensation laws will apply to any workers' compensation claims made by an employee.

Q: Why would an employer and employee want to select a state other than Ohio?A: There can be various reasons why an employer and employee may choose to select a state other than Ohio, such as if the employee performs work in multiple states or if the employer has operations in multiple states.

Q: What should I do with Form BWC-1235 once it is completed?A: Once Form BWC-1235 is completed, it should be submitted to the Ohio Bureau of Workers' Compensation for review and approval.

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Form Details:

  • Released on April 27, 2009;
  • 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 BWC-1235 (C-112) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form BWC-1235 (C-112) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

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  • Form BWC-1235 (C-112) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers Compensation Claims - Ohio, Page 1
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