Are you an Ohio resident trying to access new jobs or vital resources? Then you need to know about the Ohio Form OS 24. This form is issued by the Ohio Department of Taxation and is used for identity verification when applying for certain state programs. Whether you are a new job seeker, student loan applicant, or opening your first bank account in 2019-2020, it's important that you have all necessary documents in place before making your request. Read on to learn more about this valuable tool and how understanding it can save time and aggravation.
Question | Answer |
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Form Name | Ohio Form Os 24 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | OS 24 c158 form for ohio workers compensation |
OFfiCE SERVICES FORMS & PUBLICATIONS 3655 Brookham Drive Grove City, Ohio 43123
Call:
Please provide your physical address.
Due to United Parcel Services’ shipping regulations, we cannot to make deliveries to post office boxes.
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FORMS AVAILABLE
Quantity Form no. |
Title |
Temporary Authorization |
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Additional Information for Death Benefits |
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Physician’s Report/Treatment Plan for Industrial |
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Injury or Occupational Disease |
Request for Additional Medical Documentation for |
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Request to Appeal MCO Medical Treatment/ |
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Service Decision |
Pharmacy Invoice |
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Wage Agreement |
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Service Invoice |
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Change of Doctor Request |
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Application for Lump Sum Advancement |
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Physician’s Certificate in Proof of Death |
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Application for Adjustment of Claim in Case of Fatal |
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Injury |
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Account of Death |
Injured Worker Statement for Reimbursement of Travel |
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Expense |
Injured Workers’ Change of Address |
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Request for Temporary Total Compensation |
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Motion |
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Application for Determination of the Percentage of |
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Permanent Partial Disability or Increase of Permanent |
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Partial Disability |
Wage Statement |
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Authorization to Release Medical Information |
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Request for Waiver of Appeal |
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Agreement to Select The State of Ohio as the |
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State of Exclusive Remedy |
Agreement to Select a State Other than Ohio as |
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the State of Exclusive Remedy |
Application for Wage Loss Compensation |
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Wage Loss Statement for Job Search |
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DEP Physician’s Report of Work Ability |
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Waiver of Workers’ Compensation Benefits for |
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Recreational or Fitness Activities |
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Form no. |
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Justification of Medical Necessity for Seating/ |
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Wheeled Mobility |
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Authorization to Receive Workers’ Compensation |
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Check |
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Notice of Exception to Employer’s |
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Signature Requirement |
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Notice of Exception to Employer’s |
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Signature Requirement |
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Amended Settlement Agreement and Release |
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Application for Handicapped Reimbursement |
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First Report of Injury, Occupational Disease or Death |
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Application for Provider Enrollment and Certification |
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Application for Provider |
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Report of Work Ability |
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Authorization of Representative of Employer |
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Authorization of Representative of Injured Worker |
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Rehabilitation Agreement |
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Individualized Vocational Rehabilitation Plan |
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Trainer’s Report |
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Loan/Lease Agreement for Tools and Equipment |
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Injured Worker’s Record of Job Search Contacts |
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Authorization for Living Maintenance Wage Loss (LMWL |
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Employer Incentive Contract |
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Vocational Rehabilitation Closure Report |
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Gradual Return to Work Contract Employer |
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Reimbursement Method |
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Filing of an Allegation Against a |
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Acknowledgment of the |
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Settlement Agreement and Release |
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Application for Ohio Workers’ Compensation Coverage |
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Application for Optional Supplemental Coverage |
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Application for Optional Supplemental Coverage |
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Notification of Business |
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Acquisition/Merger or Purchase/Sale |
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PUBLICATIONS AVAILABLE
Quantity |
Form number |
Title |
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CD 106 |
BWC Medical Guide |
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FB |
Fraud Brochure |
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FBLW |
Fraud Brochure Law |
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FBMCO |
Fraud Brochure MCO |
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FBSI |
Fraud Brochure Self Insured |
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FFFI |
Fraud Flyer Financial |
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Form number |
Title |
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FFPH |
Fraud Flyer Pharmacy |
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FP 01 |
Fraud Poster |
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FS 01 |
Fraud Sticker |
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FS 01 |
Fraud Sticker |
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Forms & Publications List |
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PERRP |
Safety and Health Protection on the Job Poster |
Prepared by
Agent number |
Initials |
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Forms that are not listed here are not available through BWC office services forms and publications.
You may obtain Industrial Commission of Ohio (IC) forms by calling the IC forms and
publications number at