Filing of an Allegation Against a Self-Insured Employer Forms
| Form Name | Filing of an Allegation Against a Self-Insured Employer |
| Form # | BWC-7228 SI-28 |
| Form Revision | (Oct. 23 2023) |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |