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

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

Self-insuring forms
Initial Application by Employers for Authority to Pay Compensation Etc. Directly (SI-6)	View/Print	Instructions
Example: Organization structure for initial application	View/Print
Agreement Between Employer and the Ohio Bureau of Workers' Compensation Regarding Amount of Self-Insured Buyout (SI-16)	View/Print	Instructions
Contract of Guaranty (SI-38)	View/Print	Instructions
Permanent Authorization (AC-2)	View/Print	Instructions
Rehabilitation Election (SI-8)	View/Print	Instructions
Handicap Reimbursment Election (SI-41)	View/Print	Instructions
Election to Withdraw from Claims Reimbursement Fund (SI-44)	View/Print	Instructions
Medical management criteria for self-insurance	View/Print	Instructions