Form C-55 (BWC-1174) Salary Continuation Agreement - Ohio

What Is Form C-55 (BWC-1174)?

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-55 (BWC-1174)?
A: Form C-55 (BWC-1174) is a Salary Continuation Agreement in Ohio.

Q: What is a Salary Continuation Agreement?
A: A Salary Continuation Agreement is a legal agreement between an employer and an employee that provides for the continuation of salary or wages during a period of disability.

Q: Who needs to fill out Form C-55 (BWC-1174)?
A: Form C-55 (BWC-1174) needs to be filled out by employees who wish to enter into a Salary Continuation Agreement with their employer in Ohio.

Q: What information is required on Form C-55 (BWC-1174)?
A: Form C-55 (BWC-1174) requires information such as the employee's name and address, the employer's name and address, the effective date of the agreement, and the terms of the salary continuation.

Q: Are there any fees associated with Form C-55 (BWC-1174)?
A: There are no fees associated with filing Form C-55 (BWC-1174).

Q: Can the Salary Continuation Agreement be terminated?
A: Yes, the Salary Continuation Agreement can be terminated by either the employer or the employee with written notice.

Q: How long does the Salary Continuation Agreement last?
A: The duration of the Salary Continuation Agreement is typically specified in the agreement itself, but it can be terminated earlier based on certain conditions.

Q: Is Form C-55 (BWC-1174) specific to Ohio?
A: Yes, Form C-55 (BWC-1174) is specific to Ohio and is used for Salary Continuation Agreements in the state.

Q: Who should I contact for more information about Form C-55 (BWC-1174)?
A: For more information about Form C-55 (BWC-1174), you can contact the Bureau of Workers' Compensation (BWC) in Ohio.