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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