Form C-112 (BWC-1235) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

Form C-112 (BWC-1235) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

What Is Form C-112 (BWC-1235)?

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-112 (BWC-1235)?
A: Form C-112 (BWC-1235) is an Employer/Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims.

Q: What does this form do?
A: This form allows employers and employees in Ohio to choose another state as the state of exclusive remedy for workers' compensation claims.

Q: Why would someone want to select another state for workers' compensation claims?
A: Employers and employees may choose another state if they have substantial business operations or employment outside of Ohio and want the workers' compensation claims to be handled under that state's laws.

Q: Is it mandatory to use this form in Ohio?
A: No, it is not mandatory. The use of this form is optional.

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Form Details:

  • Released on February 10, 2022;
  • 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-112 (BWC-1235) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form C-112 (BWC-1235) Employer / Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims - Ohio

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