Outside Party ICON Access Request Form {IC-PW} | Pdf Fpdf Doc Docx | Ohio

 Ohio   Workers Comp   Industrial Commission 
Outside Party ICON Access Request Form {IC-PW} | Pdf Fpdf Doc Docx | Ohio

Last updated: 2/3/2025

Outside Party ICON Access Request Form {IC-PW}

Start Your Free Trial $ 11.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

IC-PW - OUTSIDE PARTY I.C.O.N. ACCESS REQUEST FORM. This form is used to request access to the Industrial Commission Online Network (I.C.O.N.), which provides claim-related information. By submitting this form, an outside party—such as a law firm, employer, insurer, or representative—can obtain a password-protected account to access claim records. The designated contact person is responsible for managing and distributing the login credentials within their organization. The form requires information such as the representative ID or policy/risk number, company details, contact information, and a signed letterhead confirmation. Once approved, the password can be sent via email or U.S. mail. www.FormsWorkflow.com

Our Products