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Search results with tag "Request for temporary total compensation"
Spanish speaking Instructions for Completing the Request ...
www.bwc.ohio.govC-84 BWC-1205 (Rev. March 12, 2019) Instructions This Request for Temporary Total Compensation (C-84) is the application you complete to request temporary total disability benefits. You must complete the entire form and sign it. It is your responsibility to secure supporting medical documentation from