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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 MEDCO-13A (BWC-3915)
for the current year.
Form MEDCO-13A (BWC-3915) Application for Provider Enrollment-Non Certification - Ohio
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What Is Form MEDCO-13A (BWC-3915)?
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.
Form Details:
- Released on January 28, 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 MEDCO-13A (BWC-3915) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
Download Form MEDCO-13A (BWC-3915) Application for Provider Enrollment-Non Certification - Ohio
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