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Get the free Form OCP-1 (BWC-4842) "Application for One Claim Program" - Ohio

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Application for One Claim Program InstructionsComplete this application each policy year of eligible participation. Complete all fields in this application. BWC cannot process incomplete applications.
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Form OCP-1 BWC-4842 is an application used to report and request compensation for occupational injuries or illnesses for workers under the relevant workmen's compensation regulations.
Employers who are covered under workers' compensation laws and have employees who have sustained work-related injuries or illnesses are required to file this form.
To fill out form OCP-1 BWC-4842, you need to provide details about the injured employee, the nature of the injury, the circumstances surrounding it, and any medical treatment received. Clear instructions are usually provided on the form itself.
The purpose of form OCP-1 BWC-4842 is to formally report work-related injuries and initiate the process for the employee to receive workers' compensation benefits.
The form requires information such as the employee's name and address, the date of the injury, a description of the injury, treatment information, and employer details.
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