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This version of the form is not currently in use and is provided for reference only. Download this version of
Form C-30 (BWC-1141)
for the current year.
Form C-30 (BWC-1141) Request for Medical Information - Ohio
What Is Form C-30 (BWC-1141)?
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.
FAQ
Q: What is Form C-30 (BWC-1141)?
A: Form C-30 (BWC-1141) is a Request for Medical Information in Ohio.
Q: When is Form C-30 (BWC-1141) used?
A: Form C-30 (BWC-1141) is used to request medical information in Ohio for workers' compensation claims.
Q: Who uses Form C-30 (BWC-1141)?
A: Form C-30 (BWC-1141) is used by employers, medical providers, and the Ohio Bureau of Workers' Compensation.
Q: How should Form C-30 (BWC-1141) be completed?
A: Form C-30 (BWC-1141) should be completed with accurate and detailed medical information, including the injured worker's personal information.
Q: Are there any fees associated with Form C-30 (BWC-1141)?
A: No, there are no fees associated with submitting Form C-30 (BWC-1141).
Form Details:
- Released on March 16, 2011;
- 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-30 (BWC-1141) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
