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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 C-92 (BWC-1214)
for the current year.
Form C-92 (BWC-1214) Application for Determination or Increase of Percentage of Permanent Partial Disability - Ohio
What Is Form C-92 (BWC-1214)?
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-92 (BWC-1214)?
A: Form C-92 (BWC-1214) is an application for determination or increase of percentage of permanent partial disability in Ohio.
Q: What is the purpose of Form C-92 (BWC-1214)?
A: The purpose of Form C-92 (BWC-1214) is to request a determination or increase in the percentage of permanent partial disability benefits in Ohio.
Q: Who can use Form C-92 (BWC-1214)?
A: Form C-92 (BWC-1214) can be used by injured workers or their representatives to request a determination or increase in the percentage of permanent partial disability benefits in Ohio.
Q: What information is required on Form C-92 (BWC-1214)?
A: Form C-92 (BWC-1214) requires information such as personal details, injury details, medical information, and documentation supporting the request for determination or increase in permanent partial disability benefits.
Q: How do I submit Form C-92 (BWC-1214)?
A: Form C-92 (BWC-1214) can be submitted by mail, fax, or in person to the Ohio Bureau of Workers' Compensation (BWC). The form must be completed in its entirety and signed.
Q: What happens after I submit Form C-92 (BWC-1214)?
A: After submitting Form C-92 (BWC-1214), the BWC will review the application and supporting documentation to determine if a determination or increase in permanent partial disability benefits is warranted.
Q: Can I appeal a decision made based on Form C-92 (BWC-1214)?
A: Yes, if you disagree with the BWC's decision regarding your application on Form C-92 (BWC-1214), you have the right to appeal the decision.
Q: Are there any deadlines for submitting Form C-92 (BWC-1214)?
A: Yes, there are specific deadlines for submitting Form C-92 (BWC-1214) depending on the circumstances of your case. It is important to submit the form within the designated timeframe.
Q: Can I get assistance filling out Form C-92 (BWC-1214)?
A: Yes, you can seek assistance from a worker's compensation attorney or a representative from the Ohio Bureau of Workers' Compensation (BWC) to help you fill out Form C-92 (BWC-1214).
Form Details:
- Released on March 3, 2020;
- 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-92 (BWC-1214) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
