Ohio Administrative Code (Last Updated: January 12, 2021) |
4123 Bureau of Workers' Compensation |
Chapter4123-3. Claims Procedure |
4123-3-02. Forms
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(A) Printed forms for all applications, reports, notices, proofs, etc., necessary for perfecting any claim before the bureau or commission will be furnished without charge by the bureau. Such forms may be obtained online or from any office of the bureau or commission.
(B) Each employer shall maintain a sufficient supply of forms as required by section 4123.07 of the Revised Code, and make the forms available to the employees who sustain industrial injuries or contract occupational diseases.
(C) Any required form or equivalent must be furnished with sufficient detail to facilitate the prompt and accurate adjudication of the questions presented.
(D) The bureau shall furnish to the public without charge printed forms for use in filing applications for benefits or compensation, or for submitting other necessary proof in any claim before the bureau and the industrial commission.
Five Year Review (FYR) Dates:
6/6/2019 and
06/01/2024
Promulgated
Under: 119.03
Statutory
Authority: 4121.31,
4121.30,
4121.13,
4121.121,
4121.12
Rule
Amplifies: 4121.11,
4123.05,
4121.121
Prior
Effective Dates: 01/01/1964, 09/01/1996,
04/01/2014
Prior History: (Effective:
04/01/2014
R.C. 119.032
review dates: 01/07/2014 and
04/01/2019
Promulgated
Under: 119.03
Statutory Authority: 4121.12, 4121.13, 4121.30,
4121.31
Rule Amplifies: 4121.11, 4121.121, 4123.05
Prior
Effective Dates: 1/1/64, 9/1/96)