Form C-262 (BWC-1394) Self-insured Employer's Certification of Assignment After Initial Allowance - Ohio

Form C-262 (BWC-1394) Self-insured Employer's Certification of Assignment After Initial Allowance - Ohio

What Is Form C-262 (BWC-1394)?

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 C-262?A: Form C-262 is the Self-insured Employer's Certification of Assignment After Initial Allowance form in Ohio.

Q: What is the purpose of Form C-262?A: The purpose of Form C-262 is to certify the assignment of a claim after the initial allowance by a self-insured employer in Ohio.

Q: Who needs to file Form C-262?A: Self-insured employers in Ohio need to file Form C-262 to certify the assignment of a claim after the initial allowance.

Q: Is there a deadline for filing Form C-262?A: Yes, Form C-262 must be filed within 30 days after the initial allowance of a claim.

Q: What information is required on Form C-262?A: Form C-262 requires information such as the self-insured employer's name and address, claimant's information, and details of the claim being assigned.

Q: Are there any fees for filing Form C-262?A: No, there are no fees for filing Form C-262.

Q: What should I do after filing Form C-262?A: After filing Form C-262, keep a copy for your records and submit it to the Ohio BWC as instructed on the form.

Q: Is Form C-262 mandatory for self-insured employers in Ohio?A: Yes, self-insured employers in Ohio are required to file Form C-262 to certify the assignment of a claim after the initial allowance.

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Form Details:

  • 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-262 (BWC-1394) by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-262 (BWC-1394) Self-insured Employer's Certification of Assignment After Initial Allowance - Ohio

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