Bwc Claim History. Complete this section in its entirety then proceed to section 2. You can obtain additional copies of this form at wwwbwcohiogov or by calling BWC at 1-800-644-6292 and listening to the options.
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20220 Coastal Highway P O Box 1174 Rehoboth Beach DE 19971 302-227-2501. You can obtain additional copies of this form at wwwbwcohiogov or by calling BWC at 1-800-644-6292 and listening to the options. Instructions Section I Injured worker Enter the injured workers name BWC claim number the date the injured worker was injured or contracted an occupational disease.
20220 Coastal Highway P O Box 1174 Rehoboth Beach DE 19971 302-227-2501.
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