Wage Loss Statement for Job Search Forms
| Form Name | Wage Loss Statement for Job Search |
| Form # | BWC-1268 C-141 |
| Form Revision | (Rev. Jan. 30, 2024) |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |