This version of the form is not currently in use and is provided for reference only. Download this version of Form U-69 (BWC-7573) for the current year.
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 U-69?
A: Form U-69 is a contract for coverage of state agency or political subdivision in Ohio.
Q: Who uses Form U-69?
A: State agencies and political subdivisions in Ohio use Form U-69.
Q: What is the purpose of Form U-69?
A: The purpose of Form U-69 is to establish a contract for insurance coverage for state agencies and political subdivisions in Ohio.
Q: How can I obtain Form U-69?
A: You can obtain Form U-69 by contacting the appropriate state agency or political subdivision in Ohio.
Q: Are there any fees associated with Form U-69?
A: There may be fees associated with Form U-69. Contact the state agency or political subdivision for more information.
Form Details:
Download a printable version of Form U-69 (BWC-7573) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.