Form C-44 (BWC-1163) Physician's Certificate in Proof of Death - Ohio

Form C-44 (BWC-1163) Physician's Certificate in Proof of Death - Ohio

What Is Form C-44 (BWC-1163)?

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-44?
A: Form C-44 is the Physician's Certificate in Proof of Death in Ohio.

Q: What is the purpose of Form C-44?
A: The purpose of Form C-44 is to certify the death of an individual in Ohio.

Q: Who should complete Form C-44?
A: A physician who attended or was present at the time of death should complete Form C-44.

Q: What information is required on Form C-44?
A: Form C-44 requires information such as the deceased person's name, date of birth, date and time of death, and cause of death.

Q: Is there a deadline for submitting Form C-44?
A: Yes, Form C-44 must be submitted within 5 days after the death of the individual.

Q: What happens after Form C-44 is submitted?
A: After Form C-44 is submitted, it will be reviewed by the Ohio Bureau of Workers' Compensation for processing and documentation purposes.

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Form Details:

  • Released on February 15, 2005;
  • 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 printable version of Form C-44 (BWC-1163) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-44 (BWC-1163) Physician's Certificate in Proof of Death - Ohio

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