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 R-4 (BWC-6104)?
A: Form R-4 (BWC-6104) is an Application for Representative Identification Number (RIN) in Ohio.
Q: What is a Representative Identification Number (RIN)?
A: A Representative Identification Number (RIN) is a unique identification number assigned to a representative by the Ohio Bureau of Workers' Compensation (BWC).
Q: Who needs to fill out Form R-4?
A: Anyone acting as a representative for a claimant in workers' compensation matters in Ohio needs to fill out Form R-4.
Q: How do I obtain a Representative Identification Number (RIN)?
A: To obtain a Representative Identification Number (RIN), you need to fill out Form R-4 (BWC-6104) and submit it to the Ohio Bureau of Workers' Compensation (BWC).
Q: Is there a fee to apply for a Representative Identification Number (RIN)?
A: No, there is no fee to apply for a Representative Identification Number (RIN) in Ohio.
Q: What is the purpose of the Representative Identification Number (RIN)?
A: The Representative Identification Number (RIN) is used to identify and track the activities of representatives in workers' compensation matters in Ohio.
Form Details:
Download a printable version of Form R-4 (BWC-6104) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.