Form C-263 (BWC-1395) State Fund Employer's Agreement to Accept Claim Assignment - Ohio

Form C-263 (BWC-1395) State Fund Employer's Agreement to Accept Claim Assignment - Ohio

What Is Form C-263 (BWC-1395)?

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-263 (BWC-1395)?
A: Form C-263 (BWC-1395) is a State Fund Employer's Agreement to Accept Claim Assignment form in Ohio.

Q: What is the purpose of Form C-263 (BWC-1395)?
A: The purpose of Form C-263 (BWC-1395) is for a State Fund Employer to agree to accept the assignment of a workers' compensation claim in Ohio.

Q: Who uses Form C-263 (BWC-1395)?
A: State Fund Employers in Ohio use Form C-263 (BWC-1395).

Q: What does it mean to accept claim assignment?
A: Accepting claim assignment means that the State Fund Employer agrees to be responsible for the workers' compensation claim.

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Form Details:

  • 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-263 (BWC-1395) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-263 (BWC-1395) State Fund Employer's Agreement to Accept Claim Assignment - Ohio

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