Form C-77 (BWC-1198) Injured Worker's Change of Contact Information - Ohio

What Is Form C-77 (BWC-1198)?

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-77 (BWC-1198)?
A: Form C-77 (BWC-1198) is a document used in Ohio to notify the Bureau of Workers' Compensation (BWC) of changes to an injured worker's contact information.

Q: What is the purpose of Form C-77 (BWC-1198)?
A: The purpose of Form C-77 (BWC-1198) is to ensure that the BWC has the most up-to-date contact information for an injured worker, so that they can receive important communications related to their workers' compensation claim.

Q: Who needs to fill out Form C-77 (BWC-1198)?
A: The injured worker or their authorized representative needs to fill out Form C-77 (BWC-1198) to notify the BWC of any changes to their contact information.

Q: What information needs to be provided on Form C-77 (BWC-1198)?
A: Form C-77 (BWC-1198) requires the injured worker to provide their name, claim number, old contact information, and new contact information.

Q: Is there a deadline for submitting Form C-77 (BWC-1198)?
A: There is no specific deadline for submitting Form C-77 (BWC-1198), but it is recommended to notify the BWC of any changes to contact information as soon as possible.

Q: What should I do after filling out Form C-77 (BWC-1198)?
A: After filling out Form C-77 (BWC-1198), you should submit the form to the BWC using the provided contact information on the form or as instructed by the BWC.

Q: What if I need to make additional changes to my contact information?
A: If you need to make additional changes to your contact information after submitting Form C-77 (BWC-1198), you should contact the BWC directly to provide the updated information.