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Form
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Description
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AC-2 |
The Permanent
Authorization form is used to designate the employer's
authorized representative. This form is necessary when joining a
group which is administered by a TPA such as Baylor.
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AC-3 |
Employers should use
this form to allow third party administrators to review and work
on certain workers' compensation matters on their behalf.
This form is required to enable Baylor to provide you with a
group rating quote.
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C-55 |
Employers can use this
form to acknowledge an agreement between themselves and an
employee to pay salary/wage continuation in lieu of temporary
total or living maintenance compensation.
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U-3 |
Employers use this form
to establish workers’ compensation coverage in Ohio.
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U-3S |
A form used to elect
coverage for sole proprietors/partners, ministers of a religious
organization, officers of a family farm corporation and
owners/members of limited liability companies being treated as a
sole proprietorship or partnership for income tax purposes are
not required to carry coverage on themselves.
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Link to Employer Forms - Ohio Bureau of Workers'
Compensation
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