Form IC2 Application for Compensation for Permanent Total Disability - Ohio

Form IC2 Application for Compensation for Permanent Total Disability - Ohio

What Is Form IC2?

This is a legal form that was released by the Ohio Industrial Commission - 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 IC2?
A: Form IC2 is an application for compensation for permanent total disability in the state of Ohio.

Q: Who can use Form IC2?
A: Form IC2 is used by individuals in Ohio who have sustained a permanent total disability as a result of a work-related injury or illness.

Q: What is permanent total disability?
A: Permanent total disability refers to a condition where an individual is unable to engage in any gainful employment due to a work-related injury or illness.

Q: How do I fill out Form IC2?
A: Form IC2 requires you to provide personal information, details about your injury/illness, employment history, and medical information. It is important to accurately and completely fill out the form.

Q: What supporting documents do I need to submit with Form IC2?
A: You may need to submit medical records, reports, and other relevant documents to support your claim for permanent total disability.

Q: What is the deadline to submit Form IC2?
A: The deadline to submit Form IC2 is within two years from the date of the claim allowance or the date of the most recent payment of compensation.

Q: What happens after I submit Form IC2?
A: After submitting Form IC2, the BWC will review your claim and supporting documents. They may request additional information or schedule a medical examination. The BWC will make a determination regarding your eligibility for compensation.

Q: How long does it take to receive a decision on my IC2 application?
A: The processing time for IC2 applications can vary. It generally takes several months to receive a decision from the BWC.

Q: What should I do if my IC2 application is denied?
A: If your IC2 application is denied, you have the right to appeal the decision. You should consult with an attorney or contact the BWC for guidance on the appeals process.

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Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Ohio Industrial Commission;
  • 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 fillable version of Form IC2 by clicking the link below or browse more documents and templates provided by the Ohio Industrial Commission.

Download Form IC2 Application for Compensation for Permanent Total Disability - Ohio

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