Last updated: 4/4/2024
Application For Retrospective Rating Plan For Private Employers {BWC-7523}
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Description
BWC-7523 -- APPLICATION FOR RETROSPECTIVE-RATING PLAN FOR PRIVATE EMPLOYERS. This form is used by private employers to apply for the Retrospective-Rating Plan offered by the Bureau of Workers' Compensation (BWC) in Ohio. The instructions guide the employer on how to complete the application and the requirements for participation in the program. The form includes sections for employer information, contact details, retrospective-rating plan parameters selection, estimated policy year payroll, and a statement of agreement to comply with the terms of the plan. The completed application must be submitted to BWC for review and approval before it becomes effective for the specified policy year. www.FormsWorkflow.com
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