OhioBWC - Employer - Form: (R-1) - Authorization of Representative of Employer | ||||
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Authorization of Representative of Employer (R-1) |
Introduction |
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Employers and their representatives use this form to notify BWC of the employer’s authorized representative. Once the employer signs the form the named representative can act as the employer’s agent in the specified claim. |
Required information |
- Representative's name, mailing address, including city, state, and ZIP code
- Representative's phone number
Complete the forms |
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