Last updated: 4/4/2024
Application For Drug Safety Program {BWC-7646}
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Description
BWC-7646 -- APPLICATION FOR DRUG-FREE SAFETY PROGRAM. This form is is used by employers to apply for participation in the Drug-Free Safety Program (DFSP) offered by the Bureau of Workers' Compensation (BWC) in Ohio. The form collects employer information such as the name, address, contact details, and BWC policy number. Additionally, it allows employers to indicate the level of the program they are requesting approval for (Advanced, Basic, or Comparable) and whether they want to be listed in the State of Ohio construction contractor/subcontractor database. The form also includes a certification section where the designated employer representative certifies the organization's intent to comply with program requirements and agrees to repay any bonuses received if they fail to meet the specified requirements. www.FormsWorkflow.com
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