Form C-174 (BWC-1301) Self-insured Semiannual Report of Claim Payments - Ohio

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Form C-174 (BWC-1301) Self-insured Semiannual Report of Claim Payments - Ohio

What Is Form C-174 (BWC-1301)?

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-174 (BWC-1301)?
A: Form C-174 (BWC-1301) is a self-insured semiannual report of claim payments in Ohio.

Q: Who is required to file Form C-174 (BWC-1301)?
A: Self-insured employers in Ohio are required to file Form C-174 (BWC-1301).

Q: What information is reported on Form C-174 (BWC-1301)?
A: Form C-174 (BWC-1301) reports claim payments made by self-insured employers in Ohio, including details such as the claim number, payment amount, and payment date.

Q: How often is Form C-174 (BWC-1301) filed?
A: Form C-174 (BWC-1301) is filed semiannually, meaning it is filed twice a year.

Q: What is the purpose of filing Form C-174 (BWC-1301)?
A: The purpose of filing Form C-174 (BWC-1301) is to provide information about claim payments made by self-insured employers in Ohio to the Ohio Bureau of Workers' Compensation (BWC). This helps the BWC to track and monitor claim activity.

Q: Is there a deadline for filing Form C-174 (BWC-1301)?
A: Yes, there is a deadline for filing Form C-174 (BWC-1301). The specific deadline date is provided by the Ohio Bureau of Workers' Compensation (BWC) and may vary.

Q: Are there any consequences for not filing Form C-174 (BWC-1301)?
A: Failure to file Form C-174 (BWC-1301) or filing it late may result in penalties or other consequences imposed by the Ohio Bureau of Workers' Compensation (BWC).

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Form Details:

  • Released on August 4, 2009;
  • 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-174 (BWC-1301) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-174 (BWC-1301) Self-insured Semiannual Report of Claim Payments - Ohio

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