Form C-242 (BWC-1374) Medical History and Disclosure - Ohio

What Is Form C-242 (BWC-1374)?

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-242 (BWC-1374)?
A: Form C-242 (BWC-1374) is the Medical History and Disclosure form used in Ohio.

Q: What is the purpose of Form C-242 (BWC-1374)?
A: The purpose of Form C-242 (BWC-1374) is to collect medical history and disclosure information.

Q: Who needs to complete Form C-242 (BWC-1374)?
A: Individuals who are filing a workers' compensation claim in Ohio may be required to complete Form C-242 (BWC-1374).

Q: What information is asked in Form C-242 (BWC-1374)?
A: Form C-242 (BWC-1374) asks for information such as personal details, medical history, and previous workers' compensation claims.

Q: Do I need to disclose all my medical history on Form C-242 (BWC-1374)?
A: Yes, you are required to disclose all relevant medical history on Form C-242 (BWC-1374) when filing a workers' compensation claim in Ohio.

Q: What should I do with completed Form C-242 (BWC-1374)?
A: You should return the completed Form C-242 (BWC-1374) to your employer or healthcare provider as instructed.

Q: Is Form C-242 (BWC-1374) confidential?
A: Yes, the information provided on Form C-242 (BWC-1374) is treated as confidential and is protected by privacy laws.

Q: What happens after I submit Form C-242 (BWC-1374)?
A: After you submit Form C-242 (BWC-1374), the information provided will be used to evaluate your workers' compensation claim in Ohio.