Affidavit For Attorney Fees {BWC-1386} | Pdf Fpdf Doc Docx | Ohio

 Ohio   Workers Comp   Injured Workers 
Affidavit For Attorney Fees {BWC-1386} | Pdf Fpdf Doc Docx | Ohio

Last updated: 4/3/2024

Affidavit For Attorney Fees {BWC-1386}

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Description

BWC-1386 -- AFFIDAVIT FOR ATTORNEY FEES Under Ohio Revised Code 3121.0311. This form is used by the Bureau of Workers' Compensation in Ohio to document and affirm attorney fees related to a workers' compensation claim. The affiant, an attorney, confirms their representation of the obligor, presents details of the fee agreement, acknowledges the awarded compensation, and requests payment of attorney fees and expenses. The form requires notarization to validate the statements made. www.FormsWorkflow.com

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