Employer Report of Employee Earnings for Wage Loss Compensation Forms
| Form Name | Employer Report of Employee Earnings for Wage Loss Compensation |
| Form # | BWC-1269 C-142 |
| Form Revision | (Rev. Feb. 25, 2026) |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |