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The document provides detailed instructions for completing the Request for Medical Service Reimbursement or Recommendation for Additional Conditions related to industrial injuries or occupational diseases. It outlines the necessary steps for submitting the form, including where to send it based on the type of employer, required information about the injured worker and requested services, and guidelines for recommending additional conditions. The document emphasizes the importance of providing complete and accurate information to avoid processing delays.

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2011	4.8 Satisfied (142 Votes)

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Who may file form i-765 C9?

Other foreign nationals whose immigration status authorizes them to work in the United States without restrictions may also use Form I-765 to apply to U.S. Citizenship and Immigration Services (USCIS) for an EAD that shows such authorization.

What is a C9 form in Ohio?

The Ohio Bureau of Workers Compensation C-9 Form is used for requesting medical services related to industrial injuries or occupational diseases. This form assists in providing necessary medical recommendations and additional conditions for a workers compensation claim.

What is a C9 form used for?

The C9 Employment Authorization Document (EAD) is a work permit granted to individuals who have a pending Form I-485, the Application to Adjust Status for permanent residency in the United States. This specific category allows applicants to legally work while their Green Card application is being processed.

What does eligibility category C09 mean?

Its the same category. You put (c)(9) on the form. The EAD card will arrive saying C09 on it.

What is a workers compensation lien form?

If you pursue a personal injury claim and receive a settlement, the workers comp insurance company that paid for your medical care and lost wages will seek to be reimbursed. A workers comp lien allows the insurance carrier that paid your workers comp claim to recoup its payout if you are awarded damages.

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What is C9 category eligibility for I-765?

Employment Authorization Form I-765 CategoryDescription (c)(8) Asylum application under ABC Agreement (c)(9) Pending adjustment of status under Section 245 of the Act (c)(10) Suspension of deportation applicants (filed before April 1, 1997) Cancellation of Removal applicants Cancellation applicants under NACARA54 more rows Sep 6, 2023

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What is C9 category eligibility for I-765?

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