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OhioBWC - Employer:  (List of Self-Insuring Forms Available For Download)

List of Self-Insuring Forms Available For Download

Initial Application by Employers for Authority to Pay Compensation Etc. Directly (SI-6) Print Form Instructions
Agreement Between Employer and the Ohio Bureau of Workers' Compensation Regarding Amount of Self-Insured Buyout (SI-16) Print Form Instructions
Contract of Guaranty (SI-38) Print Form Instructions
Permanent Authorization (AC-2) Print Form Instructions
Rehabilitation Election (SI-8) Print Form Instructions
Handicap Reimbursment Election (SI-41) Print Form Instructions
Election to Withdraw from Claims Reimbursement Fund (SI-44) Print Form Instructions