Form C-9-A PSYCH (BWC-1112) Request for Additional Medical Documentation for C-9 Psychological Services - Ohio

What Is Form C-9-A PSYCH (BWC-1112)?

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 C-9-A PSYCH (BWC-1112)?
A: Form C-9-A PSYCH (BWC-1112) is a request form for additional medical documentation for C-9 Psychological Services in Ohio.

Q: Who can use Form C-9-A PSYCH (BWC-1112)?
A: This form can be used by individuals or their representatives who are seeking C-9 Psychological Services in Ohio.

Q: What is the purpose of Form C-9-A PSYCH (BWC-1112)?
A: The purpose of this form is to request additional medical documentation to support a claim for C-9 Psychological Services in Ohio.

Q: Are there any fees associated with Form C-9-A PSYCH (BWC-1112)?
A: No, there are no fees associated with submitting Form C-9-A PSYCH (BWC-1112).

Q: What information should be included in Form C-9-A PSYCH (BWC-1112)?
A: The form should include the claimant's personal information, details about the requested psychological services, and a description of the additional medical documentation being requested.

Q: What happens after submitting Form C-9-A PSYCH (BWC-1112)?
A: After submitting the form, the Ohio Bureau of Workers' Compensation (BWC) will review the request for additional medical documentation and make a determination about the claim for C-9 Psychological Services.