Form C-159 (BWC-159) Download Printable PDF or Fill 2025

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The document is a waiver form for employees to voluntarily relinquish their rights to workers' compensation coverage while participating in employer-sponsored recreational activities or fitness programs. It requires the employee to list the activities, sign and date the form, and acknowledges that the waiver is valid for two years. The employer must retain a copy and submit it only if a claim arises from an injury during these activities.

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What is a U 117 form for Ohio workers comp?

U-117 - Notification of Policy Update: Employers should use this form to notify BWC of changes to the information on their Ohio workers compensation policies (e.g., update business information, address/contact information, request to cancel elective coverage and request to cancel Ohio workers compensation coverage).

What is a BWC c23 form in Ohio?

C-23 - Notice to Change Physician of Record: Injured workers should use this form to notify their managed care organization (MCO) of a change of physician. Injured workers must choose a physician who is BWC-certified.

What qualifies for workers compensation in Ohio?

With few exceptions, all workers in Ohio are eligible to receive workers compensation if they sustain a job-related injury or illness. State law mandates that all employers must carry a workers compensation policy to cover these situations.

Who pays your health insurance while on workers compensation in Ohio?

You should pay the same health insurance premiums, if any, that you are normally required to. Your employer should continue to pay their portion of your health insurance as they have been doing.

Form C-159 (BWC-159) Download Printable PDF or Fill 2025

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