Form C-5 (BWC-1108) Application for Death Benefits and / or Funeral Expenses - Ohio

What Is Form C-5 (BWC-1108)?

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-5 (BWC-1108) Application for Death Benefits and/or Funeral Expenses?
A: Form C-5 (BWC-1108) is an application used in Ohio to apply for death benefits and/or funeral expenses related to a workers' compensation claim.

Q: Who can use Form C-5 (BWC-1108) Application for Death Benefits and/or Funeral Expenses?
A: The form can be used by the dependents or legal representative of a deceased worker who had a workers' compensation claim.

Q: What is the purpose of Form C-5 (BWC-1108)?
A: The purpose of the form is to request death benefits and/or funeral expenses from the Bureau of Workers' Compensation (BWC) in Ohio.

Q: What information is required in Form C-5 (BWC-1108)?
A: The form requires information about the deceased worker, details of the death, information about the dependents, and documentation related to the claim.

Q: Are there any deadlines for submitting Form C-5 (BWC-1108)?
A: Yes, there are deadlines for submitting the form. It is important to file the form within the specified time limit to avoid any potential issues with the claim.