This version of the form is not currently in use and is provided for reference only. Download this version of Form AC-28 (BWC-0529) for the current year.
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.
Q: What is Form AC-28?
A: Form AC-28 is a document used in the state of Ohio to request to charge the surplus fund for a non-at-fault motor vehicle accident.
Q: What is the purpose of Form AC-28?
A: The purpose of Form AC-28 is to request the surplus fund to cover the expenses resulting from a non-at-fault motor vehicle accident.
Q: Who can use Form AC-28?
A: Anyone involved in a non-at-fault motor vehicle accident in Ohio can use Form AC-28 to request the surplus fund.
Q: What is the surplus fund?
A: The surplus fund is a fund established in Ohio to provide compensation for damages and expenses resulting from non-at-fault motor vehicle accidents.
Q: Are there any eligibility requirements to use Form AC-28?
A: Yes, to be eligible to use Form AC-28, you must meet certain criteria, such as being involved in a non-at-fault motor vehicle accident and being an Ohio resident.
Q: What information is required on Form AC-28?
A: Form AC-28 requires information such as your name, contact information, details of the accident, and proof of non-at-fault status.
Q: Is there a deadline for submitting Form AC-28?
A: Yes, there is a deadline for submitting Form AC-28, which is usually within a certain number of days after the accident occurred.
Q: What happens after submitting Form AC-28?
A: After submitting Form AC-28, the surplus fund administrator will review your request and determine if you are eligible for compensation.
Q: Can I appeal if my request on Form AC-28 is denied?
A: Yes, if your request on Form AC-28 is denied, you have the right to appeal the decision and provide additional evidence to support your claim.
Form Details:
Download a printable version of Form AC-28 (BWC-0529) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.