Last updated: 10/27/2023
Contract For Coverage Of State Agency Of Political Subdivision {BWC-7573}
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Description
BWC-7573 - CONTRACT FOR COVERAGE OF STATE AGENCY OR POLITICAL SUBDIVISION Pursuant to O.R.C. 4123. This form is used by the Bureau of Workers' Compensation (BWC) in Ohio. The purpose of this contract is to establish an agreement between BWC and an employer, state or any political subdivision thereof and includes any county, township, municipal corporation, school district, or any institution or agency of the state to provide workers' compensation coverage for a specific group of individuals. The contract is entered pursuant to Ohio Revised Code (O.R.C.) Section 4123.03. It outlines the responsibilities, rights, and obligations of both parties under the workers' compensation coverage provided by this contract. www.FormsWorkflow.com
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