Ohio
Workers Comp
Employers
Last updated: 1/29/2025
Labor Lease Transaction Claims {BWC-0520}
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Description
BWC-0520 / AC-19 - LABOR LEASE TRANSACTION CLAIMS. This form is used by the Bureau of Workers' Compensation (BWC) to document and process workers' compensation claims related to labor lease agreements between a Professional Employer Organization (PEO) and a client employer. It is used when there is a change or termination of a lease agreement and requires details such as the PEO and client policy numbers, claimant information, and injury details. The form ensures that claims are properly assigned under the correct employer's workers' compensation policy. The PEO must sign and submit the form via email, fax, or mail for processing. www.FormsWorkflow.com
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