Form U-69 (BWC-7573) Contract for Coverage of State Agency or Political Subdivision - Ohio

Form U-69 (BWC-7573) Contract for Coverage of State Agency or Political Subdivision - Ohio

What Is Form U-69 (BWC-7573)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 22, 2023;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form U-69 (BWC-7573) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

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