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.
Q: What is Form A-112?
A: Form A-112 is the Electronic Funds Transfer (EFT)/Direct Deposit Application for Authorized Representatives in Ohio.
Q: What is the purpose of Form A-112?
A: The purpose of Form A-112 is to authorize the Ohio Department of Job and Family Services to deposit funds directly into the bank account of an authorized representative.
Q: Who is eligible to use Form A-112?
A: Authorized representatives who are receiving payments from the Ohio Department of Job and Family Services are eligible to use Form A-112.
Q: What is Electronic Funds Transfer (EFT)?
A: Electronic Funds Transfer (EFT) is a method of transferring funds electronically from one bank account to another.
Q: What is Direct Deposit?
A: Direct Deposit is a service that allows funds to be deposited directly into a bank account, eliminating the need for a paper check.
Q: Is Form A-112 required for receiving payments?
A: Yes, Form A-112 is required for authorized representatives who wish to receive payments through Electronic Funds Transfer (EFT) or Direct Deposit.
Q: Are there any fees associated with Electronic Funds Transfer (EFT) or Direct Deposit?
A: No, there are no fees associated with Electronic Funds Transfer (EFT) or Direct Deposit.
Q: Can I cancel or change my Electronic Funds Transfer (EFT) or Direct Deposit information?
A: Yes, you can cancel or change your Electronic Funds Transfer (EFT) or Direct Deposit information by completing a new Form A-112 and submitting it to the Ohio Department of Job and Family Services.
Q: What information do I need to provide on Form A-112?
A: You will need to provide your personal information, bank account details, and authorization to the Ohio Department of Job and Family Services on Form A-112.
Form Details:
Download a printable version of Form A-112 (BWC-0119) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.