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This version of the form is not currently in use and is provided for reference only. Download this version of
Form C-77 (BWC-1198)
for the current year.
Form C-77 (BWC-1198) Injured Worker's Change of Contact Information - Ohio
What Is Form C-77 (BWC-1198)?
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-77 (BWC-1198)?
A: Form C-77 (BWC-1198) is the Injured Worker's Change of Contact Information form in Ohio.
Q: What is the purpose of Form C-77 (BWC-1198)?
A: The purpose of Form C-77 (BWC-1198) is to notify the Bureau of Workers' Compensation (BWC) in Ohio about any changes in the injured worker's contact information.
Q: Why is it important to submit Form C-77 (BWC-1198)?
A: Submitting Form C-77 (BWC-1198) is important to ensure that the injured worker receives important communications and updates from the BWC.
Q: Who needs to fill out Form C-77 (BWC-1198)?
A: The injured worker needs to fill out Form C-77 (BWC-1198) to update their contact information with the BWC in Ohio.
Form Details:
- Released on January 24, 2023;
- 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-77 (BWC-1198) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
