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Form UA-3 SI (BWC-8003) Self-insured Professional Employer Organization (Peo) Client Relationship Notification - Ohio
What Is Form UA-3 SI (BWC-8003)?
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 the Form UA-3 SI?
A: Form UA-3 SI is the Self-insured Professional Employer Organization (PEO) Client Relationship Notification form.
Q: What is a Self-insured Professional Employer Organization?
A: A Self-insured Professional Employer Organization (PEO) is a company that provides human resource services to small and medium-sized businesses.
Q: What is the purpose of the Form UA-3 SI?
A: The purpose of the Form UA-3 SI is to notify the Ohio Bureau of Workers' Compensation (BWC) about the relationship between a self-insured PEO and its clients in Ohio.
Q: Who needs to submit the Form UA-3 SI?
A: Self-insured PEOs operating in Ohio are required to submit the Form UA-3 SI.
Q: What information is required on the Form UA-3 SI?
A: The Form UA-3 SI requires information about the self-insured PEO, its clients in Ohio, and the workers' compensation coverage provided.
Form Details:
- Released on May 21, 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 UA-3 SI (BWC-8003) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
