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.
Q: What is Form RH-94A (BWC-3061)?
A: Form RH-94A (BWC-3061) is the Report of Earnings for Living Maintenance Wage Loss Compensation in Ohio.
Q: What is Living Maintenance Wage Loss Compensation?
A: Living Maintenance Wage Loss Compensation is a benefit provided in Ohio to workers who have suffered a work-related injury or occupational disease and have returned to work with restrictions that result in a loss of earning capacity.
Q: Who needs to fill out Form RH-94A (BWC-3061)?
A: The injured worker, along with their employer or authorized representative, needs to fill out Form RH-94A (BWC-3061).
Q: What information is required on Form RH-94A (BWC-3061)?
A: Form RH-94A (BWC-3061) requires information such as the injured worker's name and identification number, employer information, and details about the earnings and restrictions.
Form Details:
Download a printable version of Form RH-94A (BWC-3061) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.