Form C-59 (BWC-1177) Self-insurers' Agreement as to Compensation on Account of Death - Ohio
What Is Form C-59 (BWC-1177)?
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 March 1, 2005;
- 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 C-59 (BWC-1177) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
