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ACTION: RefiledDATE: 02/23/2010 11:05 Ampule Summary and Fiscal Analysis (Part A) Bureau of Workers\' Compensation Agency NameDivision of Safety and Hygiene Tom SicoDivisionContact30 West Spring St.
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Obtain the necessary forms from the Ohio Bureau of Workers' Compensation website or office.
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Fill out all required fields on the form including personal information, employer information, and details of the injury or illness.
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Provide any supporting documentation as required, such as medical records or witness statements.
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Submit the completed form to the Ohio Bureau of Workers' Compensation by the specified deadline.

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Employees who have been injured or become ill as a result of their work.
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Employers who are required to provide workers' compensation benefits to their employees.
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The Ohio Bureau of Workers' Compensation (BWC) is the state agency responsible for providing workers' compensation insurance to Ohio employers and employees.
All Ohio employers are required to file with the Ohio Bureau of Workers' Compensation in order to provide coverage for their employees.
Employers can fill out the necessary forms online through the Ohio BWC website or by contacting their local BWC office for assistance.
The purpose of the Ohio Bureau of Workers' Compensation is to provide compensation to employees who are injured on the job and to promote workplace safety.
Employers must report payroll information, employee classification codes, and any workplace injuries or illnesses to the Ohio BWC.
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