Employer/Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims Forms
| Form Name | Employer/Employee Agreement to Select a State Other Than Ohio as the State of Exclusive Remedy for Workers' Compensation Claims |
| Form # | BWC-1235 C-112 |
| Form Revision | (Rev. June 20, 2024) |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Ohio |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |