Form C-143 PC (BWC-1270) Disability Evaluator Panel (DEP) Physician's Report of Work Ability Cognitive / Psychological Conditions - Ohio

Form C-143 PC (BWC-1270) Disability Evaluator Panel (DEP) Physician's Report of Work Ability Cognitive / Psychological Conditions - Ohio

What Is Form C-143 PC (BWC-1270)?

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-143 PC (BWC-1270)?
A: Form C-143 PC (BWC-1270) is a Disability Evaluator Panel (DEP) Physician's Report of Work Ability for Cognitive/Psychological Conditions in Ohio.

Q: What is the purpose of Form C-143 PC (BWC-1270)?
A: The purpose of Form C-143 PC (BWC-1270) is to assess and report on an individual's work ability for cognitive and psychological conditions.

Q: Who uses Form C-143 PC (BWC-1270)?
A: Form C-143 PC (BWC-1270) is used by disability evaluator panel physicians in Ohio.

Q: What does Form C-143 PC (BWC-1270) evaluate?
A: Form C-143 PC (BWC-1270) evaluates work ability for cognitive and psychological conditions.

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Form Details:

  • Released on August 17, 2016;
  • 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 fillable version of Form C-143 PC (BWC-1270) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-143 PC (BWC-1270) Disability Evaluator Panel (DEP) Physician's Report of Work Ability Cognitive / Psychological Conditions - Ohio

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  • Form C-143 PC (BWC-1270) Disability Evaluator Panel (DEP) Physicians Report of Work Ability Cognitive / Psychological Conditions - Ohio, Page 1
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