Form U-21 (BWC-7523) Application for Retrospective-Rating Plan for Public Employers - Ohio

What Is Form U-21 (BWC-7523)?

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 U-21?
A: Form U-21 is an application for the retrospective-rating plan for public employers in Ohio.

Q: Who should use Form U-21?
A: Public employers in Ohio who want to apply for the retrospective-rating plan should use Form U-21.

Q: What is the purpose of the retrospective-rating plan for public employers?
A: The retrospective-rating plan allows public employers in Ohio to potentially receive a premium refund or additional premium based on their workers' compensation claims experience.

Q: Are there any fees associated with submitting Form U-21?
A: Yes, there are fees associated with submitting Form U-21. The specific fees vary depending on the employer's payroll and claims history.

Q: Are there any deadlines for submitting Form U-21?
A: Yes, there are specific deadlines for submitting Form U-21. These deadlines are listed in the instructions for the form.

Q: What supporting documentation should be included with Form U-21?
A: Applicants should include payroll records, premium payment records, and additional documentation related to workers' compensation claims.

Q: Who can I contact for assistance with Form U-21?
A: For assistance with Form U-21, individuals can contact their local Ohio Bureau of Workers' Compensation service office or call the customer service hotline.