Form C-243 (BWC-1375) Ptd-Death Settlement Acknowledgement and Waiver Full and Final Settlement - Ohio

Form C-243 (BWC-1375) Ptd-Death Settlement Acknowledgement and Waiver Full and Final Settlement - Ohio

What Is Form C-243 (BWC-1375)?

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-243 (BWC-1375)?
A: Form C-243 (BWC-1375) is the Ptd-Death Settlement Acknowledgement and Waiver Full and Final Settlement form in Ohio.

Q: What is the purpose of Form C-243 (BWC-1375)?
A: The purpose of Form C-243 (BWC-1375) is to acknowledge and waive any further claims related to a permanent total disability death settlement in Ohio.

Q: What does Ptd-Death Settlement mean?
A: Ptd-Death Settlement refers to a settlement related to permanent total disability resulting in death.

Q: What is the significance of signing Form C-243 (BWC-1375)?
A: By signing Form C-243 (BWC-1375), an individual acknowledges that they have received the settlement and waives any future claims or rights related to the permanent total disability death settlement.

Q: Is Form C-243 (BWC-1375) specific to Ohio?
A: Yes, Form C-243 (BWC-1375) is specific to Ohio and is used for settlements related to permanent total disability resulting in death in the state.

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Form Details:

  • 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 fillable version of Form C-243 (BWC-1375) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-243 (BWC-1375) Ptd-Death Settlement Acknowledgement and Waiver Full and Final Settlement - Ohio

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