• US Legal Forms

Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease

State:
Ohio
Control #:
OH-SKU-1474
Format:
PDF
Instant download
This website is not affiliated with any governmental entity
Public form
Sorry, the form is currently unavailable.Try our extended search for alternatives that meet your needs.

Description

Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease is a form used by Ohio employers to file a claim for benefits in the event of an employee's death due to an occupational disease. This form requests information about the employee, the nature of the disease, and the date of death. It also requires information about any benefits the employee may have received prior to death. There are three types of Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease: (1) Ohio BWC Form C-86, (2) Ohio BWC Form C-86A, and (3) Ohio BWC Form C-86B. Ohio BWC Form C-86 is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's estate. Ohio BWC Form C-86A is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's surviving spouse or child. Ohio BWC Form C-86B is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's parents.

Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease is a form used by Ohio employers to file a claim for benefits in the event of an employee's death due to an occupational disease. This form requests information about the employee, the nature of the disease, and the date of death. It also requires information about any benefits the employee may have received prior to death. There are three types of Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease: (1) Ohio BWC Form C-86, (2) Ohio BWC Form C-86A, and (3) Ohio BWC Form C-86B. Ohio BWC Form C-86 is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's estate. Ohio BWC Form C-86A is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's surviving spouse or child. Ohio BWC Form C-86B is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's parents.

How to fill out Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease?

How much time and resources do you normally spend on composing formal documentation? There’s a better way to get such forms than hiring legal specialists or wasting hours browsing the web for a proper template. US Legal Forms is the leading online library that provides professionally drafted and verified state-specific legal documents for any purpose, such as the Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease.

To acquire and prepare a suitable Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease template, adhere to these simple steps:

  1. Examine the form content to ensure it complies with your state laws. To do so, check the form description or utilize the Preview option.
  2. In case your legal template doesn’t meet your needs, find another one using the search bar at the top of the page.
  3. If you already have an account with us, log in and download the Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease. If not, proceed to the next steps.
  4. Click Buy now once you find the right blank. Opt for the subscription plan that suits you best to access our library’s full opportunities.
  5. Create an account and pay for your subscription. You can make a payment with your credit card or via PayPal - our service is absolutely secure for that.
  6. Download your Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease on your device and fill it out on a printed-out hard copy or electronically.

Another benefit of our library is that you can access previously acquired documents that you safely keep in your profile in the My Forms tab. Get them at any moment and re-complete your paperwork as frequently as you need.

Save time and effort preparing official paperwork with US Legal Forms, one of the most trusted web services. Sign up for us today!

Trusted and secure by over 3 million people of the world’s leading companies

Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease