PDF
Word
Form RH-19 (BWC-2970) Employer Incentive Contract - Ohio
What Is Form RH-19 (BWC-2970)?
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 RH-19 (BWC-2970)?
A: Form RH-19 (BWC-2970) is the Employer Incentive Contract used in Ohio.
Q: What is the purpose of Form RH-19?
A: Form RH-19 is used to establish an employer incentive contract with the Ohio Bureau of Workers' Compensation.
Q: Who can use Form RH-19?
A: Employers in Ohio can use Form RH-19 to enter into an incentive contract with the Bureau of Workers' Compensation.
Q: What is an employer incentive contract?
A: An employer incentive contract is a mutually beneficial agreement between an employer and the Bureau of Workers' Compensation where the employer commits to certain safety measures in exchange for potential cost savings or benefits.
Q: What information is required on Form RH-19?
A: Form RH-19 requires information about the employer, including their contact details, policy number, and the proposed safety programs or initiatives they plan to implement.
Q: Is there a fee for submitting Form RH-19?
A: No, there is no fee for submitting Form RH-19.
Q: Are there any eligibility requirements to enter into an employer incentive contract?
A: Yes, employers must meet certain eligibility requirements, such as having an active workers' compensation policy with the Ohio Bureau of Workers' Compensation and maintaining a good safety record.
Q: What are the potential benefits of entering into an employer incentive contract?
A: By entering into an employer incentive contract, employers may be eligible for cost savings, such as premium rebates or discounts, as well as access to additional resources and support for safety programs.
Q: Can an employer terminate an incentive contract?
A: Yes, an employer can terminate an incentive contract by providing written notice to the Bureau of Workers' Compensation.
Form Details:
- Released on October 5, 2015;
- 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 RH-19 (BWC-2970) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
