Ohio
Workers Comp
Employers
Last updated: 10/11/2024
Application For Adjudication Hearing {BWC-3515}
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Description
BWC-3515 - APPLICATION FOR ADJUDICATION HEARING OHIO ADMINISTRATIVE CODE 4123-14-06. The employer or the employer’s representative uses this form to request a decision by the Adjudicating Committee on the employer’s protest that the employer and appropriate BWC business unit has not resolved. We will consider only billings being protested for collection holds. You must make current premium payments to maintain coverage during your protest. www.FormsWorkflow.com
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