Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

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Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

What Is Form SI-28 (BWC-7228)?

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 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.

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Form Details:

  • Released on June 18, 2014;
  • 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 SI-28 (BWC-7228) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form SI-28 (BWC-7228) Filing of an Allegation Against a Self-insured Employer - Ohio

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