Ohio
Workers Comp
Employers
Last updated: 4/9/2025
Lapse And Penalty Forgiveness {BWC-7563}
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Description
BWC-7563/U-59 -- LAPSE AND PENALTY FORGIVENESS (Pursuant to Ohio Administrative Code (OAC) 4123-14-03). Employers or their authorized representatives must submit a request to BWC for retroactive coverage and penalty abatement based on good cause shown and/or a one-time forgiveness. Use this form to make the request. www.FormsWorkflow.com
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