PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form C-84 (BWC-1205)
for the current year.
Form C-84 (BWC-1205) Request for Temporary Total Compensation - Ohio
What Is Form C-84 (BWC-1205)?
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-84 (BWC-1205)?
A: Form C-84 (BWC-1205) is the Request for Temporary Total Compensation form in Ohio.
Q: What is the purpose of Form C-84 (BWC-1205)?
A: The purpose of Form C-84 (BWC-1205) is to request temporary total compensation benefits.
Q: Who can use Form C-84 (BWC-1205)?
A: Anyone in Ohio who is eligible for temporary total compensation benefits can use Form C-84 (BWC-1205).
Q: How do I fill out Form C-84 (BWC-1205)?
A: You need to accurately complete all sections of Form C-84 (BWC-1205), providing the required information.
Q: Are there any deadlines for submitting Form C-84 (BWC-1205)?
A: Yes, there are deadlines for submitting Form C-84 (BWC-1205) depending on your specific circumstances. It is important to submit the form within the required timeframe.
Q: What happens after I submit Form C-84 (BWC-1205)?
A: After you submit Form C-84 (BWC-1205), the Bureau of Workers' Compensation (BWC) will review your request and determine your eligibility for temporary total compensation benefits.
Q: Can I appeal if my request for temporary total compensation benefits is denied?
A: Yes, if your request for temporary total compensation benefits is denied, you have the right to file an appeal with the Bureau of Workers' Compensation (BWC) in Ohio.
Form Details:
- Released on March 12, 2019;
- The latest edition provided by the Ohio Bureau of Workers' Compensation;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form C-84 (BWC-1205) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
Download Form C-84 (BWC-1205) Request for Temporary Total Compensation - Ohio
1
2
