Consent To Release Information {BWC-1192} | Pdf Fpdf Doc Docx | Ohio

 Ohio   Workers Comp   Injured Workers 
Consent To Release Information {BWC-1192} | Pdf Fpdf Doc Docx | Ohio

Last updated: 6/17/2025

Consent To Release Information {BWC-1192}

Start Your Free Trial $ 13.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals

Description

BWC-1192 / C-72 - CONSENT TO RELEASE INFORMATION. Use this form if you want BWC to release information we have about your claim with another individual or organization. This signed consent applies specifically to this claim. You must file a separate consent form for each additional BWC claim you wish to release. www.FormsWorkflow.com

Related forms

Our Products