Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio

Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio

What Is Form U-116 (BWC-7622)?

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 U-116 (BWC-7622)?A: Form U-116 (BWC-7622) is a notification form used in Ohio to add or remove an additional named insured on an insurance policy.

Q: What is an additional named insured?A: An additional named insured is a person or entity that is added to an insurance policy and is given the rights and benefits of being an insured party.

Q: When should Form U-116 (BWC-7622) be used?A: Form U-116 (BWC-7622) should be used when you want to add or remove an additional named insured on your insurance policy in Ohio.

Q: How do I use Form U-116 (BWC-7622)?A: To use Form U-116 (BWC-7622), fill out the required information about the policyholder, the additional named insured, and the effective date of the change.

ADVERTISEMENT

Form Details:

  • Released on January 3, 2023;
  • 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 U-116 (BWC-7622) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio

4.8 of 5 (19 votes)
  • Form U-116 (BWC-7622) Notification to Add/Remove an Additional Named Insured(S) - Ohio

    1

  • Form U-116 (BWC-7622) Notification to Add/Remove an Additional Named Insured(S) - Ohio, Page 2

    2

  • Form U-116 (BWC-7622) Notification to Add/Remove an Additional Named Insured(S) - Ohio, Page 3

    3

  • Form U-116 (BWC-7622) Notification to Add/Remove an Additional Named Insured(S) - Ohio, Page 4

    4

  • Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio, Page 1
  • Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio, Page 2
  • Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio, Page 3
  • Form U-116 (BWC-7622) Notification to Add / Remove an Additional Named Insured(S) - Ohio, Page 4
Prev 1 2 3 4 Next
ADVERTISEMENT