The C-108 form is an official Ohio Bureau of Workers' Compensation (BWC) document used to waive the appeal period for a specific workers' compensation claim decision. Both the injured worker and the employer use this form when they agree not to contest an order from the BWC or the Industrial Commission of Ohio (IC).
The form requires key claim information: the injured worker's full name, date of injury, claim number, and employer details. All relevant parties must provide their signatures to confirm the mutual agreement. The waiver applies only to the specific order listed. It does not affect your right to appeal future orders on the same compensation claim.
This document helps streamline the workers' compensation process by allowing faster resolution when both parties accept a decision. For other Ohio BWC documents you may need during your claim, see our Ohio BWC C-9 form and the Workers' Compensation C-4 form.
| Question | Answer |
|---|---|
| Form Name | C 108 Form Ohio |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | waiver bwc, ohio waiver appeal, appeal bwc form, worker waiver ohio search |