This version of the form is not currently in use and is provided for reference only. Download this version of Form SI-28 (BWC-7228) for the current year.
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 SI-28 (BWC-7228)?
A: Form SI-28 (BWC-7228) is a document for filing an allegation against a self-insured employer in Ohio.
Q: How can I file an allegation against a self-insured employer in Ohio?
A: You can file an allegation against a self-insured employer in Ohio by filling out and submitting Form SI-28 (BWC-7228).
Q: What information do I need to provide when filing an allegation against a self-insured employer?
A: When filing an allegation against a self-insured employer, you will need to provide information such as your personal details, details of the alleged incident, and any supporting documentation.
Q: Is there a deadline for filing an allegation against a self-insured employer in Ohio?
A: Yes, there is a deadline for filing an allegation against a self-insured employer in Ohio. The deadline is generally within two years from the date of the alleged incident.
Q: What happens after I file an allegation against a self-insured employer in Ohio?
A: After you file an allegation against a self-insured employer in Ohio, the BWC will review the information provided and may conduct an investigation.
Q: What should I do if I have more questions about filing an allegation against a self-insured employer in Ohio?
A: If you have more questions about filing an allegation against a self-insured employer in Ohio, you can contact the Ohio Bureau of Workers' Compensation (BWC) for further assistance.
Form Details:
Download a printable version of Form SI-28 (BWC-7228) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.