Form C-264 (BWC-1396) Request to Correct Employer and / or Policy Number Assignment - Ohio

Form C-264 (BWC-1396) Request to Correct Employer and / or Policy Number Assignment - Ohio

What Is Form C-264 (BWC-1396)?

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-264 (BWC-1396) used for?
A: Form C-264 is used to request corrections to employer and/or policy number assignments in Ohio.

Q: When should I use Form C-264 (BWC-1396)?
A: You should use this form when there are errors or changes in your employer or policy number assignments that need to be corrected.

Q: What information is required in the form?
A: The form requires information such as the employer's name, address, federal employer identification number (FEIN), and details of the correction or change requested.

Q: Is there a deadline for submitting Form C-264 (BWC-1396)?
A: There is no specific deadline mentioned for submitting the form. However, it is recommended to submit it as soon as possible to avoid any delays or complications.

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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-264 (BWC-1396) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-264 (BWC-1396) Request to Correct Employer and / or Policy Number Assignment - Ohio

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