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Bwc ohio workers compensation 2026
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- Click ‘Get Form’ to open the bwc ohio workers compensation wage statement in the editor.
- Begin by entering the injured worker's name, date of injury, and contact information including phone and cell numbers.
- Fill in the employer's name and contact details, along with the claim number and email address.
- Employers should complete the gross earnings section, ensuring to include all earnings prior to deductions. Report any bonuses or commissions as needed.
- Injured workers must provide their employment history for the year prior to injury, including any other employers if applicable.
- Complete the pay period dates and report regular and overtime earnings for the last pay period before the injury.
- Finally, certify that all information is correct by signing and dating the form. Ensure that any affidavits are completed if necessary.
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