Request To Charge Surplus Fund For Vehicle Accident {BWC-0529} | Pdf Fpdf Docx | Ohio

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Request To Charge Surplus Fund For Vehicle Accident {BWC-0529} | Pdf Fpdf Docx | Ohio

Last updated: 1/30/2025

Request To Charge Surplus Fund For Vehicle Accident {BWC-0529}

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Description

BWC-0529 / AC-28 - This application details the required documentation private and public employers must provide to support a request for experience modification calculation. Submitting the required documentation with this form will help BWC expedite its decision. BWC will advise you if additional documentation or information is needed. www.FormsWorkflow.com

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