Authorization for Living Maintenance Wage Loss Forms
| Form Name | Authorization for Living Maintenance Wage Loss |
| Form # | BWC-2968 RH-18 |
| Form Revision | (Rev. Nov. 19, 2023) |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |