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This version of the form is not currently in use and is provided for reference only. Download this version of
Form AC-28 (BWC-0529)
for the current year.
Form AC-28 (BWC-0529) Request to Charge the Surplus Fund for Non-at-Fault Motor Vehicle Accident - Ohio
What Is Form AC-28 (BWC-0529)?
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 AC-28 (BWC-0529)?
A: Form AC-28 (BWC-0529) is a request to charge the surplus fund for a non-at-fault motor vehicle accident in Ohio.
Q: What is the surplus fund for a motor vehicle accident in Ohio?
A: The surplus fund is a fund set up in Ohio to provide additional compensation to individuals who have been injured in motor vehicle accidents caused by uninsured or underinsured drivers.
Q: When should I use Form AC-28 (BWC-0529)?
A: You should use Form AC-28 (BWC-0529) if you were involved in a motor vehicle accident in Ohio that was not your fault and you are seeking additional compensation from the surplus fund.
Form Details:
- Released on December 9, 2019;
- 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 printable version of Form AC-28 (BWC-0529) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
