Form C-110 (BWC-1233) Employer / Employee Agreement to Select Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

What Is Form C-110 (BWC-1233)?

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 February 10, 2022;
• 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 C-110 (BWC-1233) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.