Form SI-52 (BWC-7252) Self-insured Claims Reimbursement (Sysco) Application - Ohio

What Is Form SI-52 (BWC-7252)?

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-52 (BWC-7252) Self-insured Claims Reimbursement (Sysco) Application?
A: Form SI-52 (BWC-7252) is the application used for self-insured claims reimbursement for Sysco in Ohio.

Q: Who can use Form SI-52 (BWC-7252)?
A: Form SI-52 (BWC-7252) can be used by Sysco, a self-insured employer in Ohio.

Q: What is the purpose of Form SI-52 (BWC-7252)?
A: The purpose of Form SI-52 (BWC-7252) is to apply for reimbursement of self-insured claims for Sysco in Ohio.

Q: Is there a deadline to submit Form SI-52 (BWC-7252)?
A: Yes, Form SI-52 (BWC-7252) must be submitted within 30 days of the end of the quarter for which reimbursement is being sought.

Q: What information is required on Form SI-52 (BWC-7252)?
A: Form SI-52 (BWC-7252) requires information such as employer details, claim details, reimbursement calculations, and certification.

Q: Are there any supporting documents required with Form SI-52 (BWC-7252)?
A: Yes, supporting documents such as claim documentation, medical reports, and payment records must be submitted along with Form SI-52 (BWC-7252).

Q: How long does it take to receive reimbursement after submitting Form SI-52 (BWC-7252)?
A: The processing time for Form SI-52 (BWC-7252) can vary, but it usually takes several weeks to receive reimbursement.

Q: Are there any fees associated with submitting Form SI-52 (BWC-7252)?
A: No, there are no fees associated with submitting Form SI-52 (BWC-7252).