Form SI-42 (BWC-7242) Self-insured Joint Settlement Agreement and Release - Ohio

What Is Form SI-42 (BWC-7242)?

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-42 (BWC-7242)?
A: Form SI-42 (BWC-7242) is a Self-insured Joint Settlement Agreement and Release form in Ohio.

Q: What is the purpose of Form SI-42 (BWC-7242)?
A: The purpose of Form SI-42 (BWC-7242) is to document a joint settlement agreement and release between a self-insured employer and the Ohio Bureau of Workers' Compensation (BWC).

Q: Who uses Form SI-42 (BWC-7242)?
A: Form SI-42 (BWC-7242) is used by self-insured employers in Ohio who want to settle their workers' compensation claims with the BWC.

Q: What information is required in Form SI-42 (BWC-7242)?
A: Form SI-42 (BWC-7242) requires information about the injured worker, the employer, the claim, and the terms of the settlement.

Q: Are there any fees associated with Form SI-42 (BWC-7242)?
A: There may be fees associated with filing Form SI-42 (BWC-7242), such as settlement and administrative fees. These fees vary depending on the specific circumstances of the settlement.

Q: Are there any deadlines for submitting Form SI-42 (BWC-7242)?
A: It is important to check with the Ohio Bureau of Workers' Compensation for any specific deadlines or time limits for submitting Form SI-42 (BWC-7242).

Q: What happens after submitting Form SI-42 (BWC-7242)?
A: After submitting Form SI-42 (BWC-7242), the BWC will review the settlement agreement and release. If approved, the settlement will be finalized, and the self-insured employer will be responsible for making the agreed-upon payments to the injured worker.