Ohio
Workers Comp
Employers
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Last updated: 11/22/2024
Employer Authorized Representative (R-2) {BWC-6102}
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Description
BWC-6102 - EMPLOYER AUTHORIZED REPRESENTATIVE (R-1). This form is used to designate a representative to act on behalf of the employer in a workers' compensation claim. By completing this form, the employer grants authorization for the designated representative to manage the claim with the Ohio Bureau of Workers' Compensation and the Ohio Industrial Commission. www.FormsWorkflow.com
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