Form SI-43 (BWC-7243) Acknowledgement of the Self-insured Joint Settlement Agreement and Release - Ohio

Form SI-43 (BWC-7243) Acknowledgement of the Self-insured Joint Settlement Agreement and Release - Ohio

What Is Form SI-43 (BWC-7243)?

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 SI-43 (BWC-7243)?
A: Form SI-43 (BWC-7243) is the Acknowledgement of the Self-insured Joint Settlement Agreement and Release in Ohio.

Q: What is the purpose of Form SI-43 (BWC-7243)?
A: The purpose of Form SI-43 (BWC-7243) is to acknowledge the self-insured joint settlement agreement and release in Ohio.

Q: Who needs to complete Form SI-43 (BWC-7243)?
A: The self-insured party involved in a joint settlement agreement in Ohio needs to complete Form SI-43 (BWC-7243).

Q: What is a self-insured joint settlement agreement?
A: A self-insured joint settlement agreement is an agreement reached between parties involved in a workers' compensation claim in Ohio.

Q: What is the purpose of a self-insured joint settlement agreement?
A: The purpose of a self-insured joint settlement agreement is to resolve the workers' compensation claim and release all parties from further liability.

Q: Is Form SI-43 (BWC-7243) specific to Ohio?
A: Yes, Form SI-43 (BWC-7243) is specific to Ohio and is used for self-insured joint settlement agreements in the state.

Q: Are there any fees associated with Form SI-43 (BWC-7243)?
A: There may be fees associated with Form SI-43 (BWC-7243), depending on the specific circumstances of the workers' compensation claim and settlement agreement.

Q: Are there any deadlines for submitting Form SI-43 (BWC-7243)?
A: There may be deadlines for submitting Form SI-43 (BWC-7243), which will be outlined in the self-insured joint settlement agreement.

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Form Details:

  • Released on October 2, 1997;
  • 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 SI-43 (BWC-7243) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form SI-43 (BWC-7243) Acknowledgement of the Self-insured Joint Settlement Agreement and Release - Ohio

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