Ohio
Workers Comp
Employers
Last updated: 2/16/2024
Claims Liability Agreement {BWC-7216}
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Description
BWC-7216 - CLAIMS LIABILITY AGREEMENT. This form is used by employers in the State of Ohio who wish to self-insure their liabilities arising under Chapter 4123 of the Ohio Revised Code (ORC) with the Ohio Bureau of Workers' Compensation (BWC). The agreement outlines the terms and conditions under which the employer agrees to pay BWC for any amounts due and owing related to workers' compensation claims. It covers future adjustments, billing payment deadlines, waiver of certain claims, and how ambiguities in the agreement will be resolved. www.FormsWorkflow.com
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