Bwc ohio workers compensation 2025

1. Click ‘Get Form’ to open the bwc ohio workers compensation wage statement in the editor.
2. Begin by entering the injured worker's name, date of injury, and contact information including phone numbers and email address.
3. Fill in the employer's details, including their name and contact information. Ensure you also provide the claim number.
4. Report gross earnings accurately. Include all earnings prior to deductions, such as taxes and insurance. Remember to include amounts from paid leave.
5. If applicable, complete the affidavit section if you are self-employed or unemployed. This may require additional documentation like W-2s or Social Security reports.
6. Provide detailed earnings for the pay period leading up to the injury date, including regular and overtime earnings.
7. Review all entered information for accuracy before signing and submitting the form electronically through our platform.

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