Ohio C 23 Bwc 1999-2025 Form

What is the C23 Form

The C23 form, also known as the Ohio C 23 BWC form, is a crucial document used within the Ohio Bureau of Workers' Compensation system. It serves to notify the Bureau of a change in an injured worker's physician. This form is essential for ensuring that the medical treatment of injured workers is appropriately managed and documented. It helps facilitate the transition between healthcare providers, ensuring continuity of care and compliance with workers' compensation regulations.

How to Use the C23 Form

To effectively use the C23 form, individuals must first ensure they have the correct version of the form, which can be obtained from the Ohio Bureau of Workers' Compensation website or other official sources. Once in possession of the form, the user should fill in the necessary details, including the injured worker's information and the new physician's details. It is important to provide accurate and complete information to avoid delays in processing. After completing the form, it should be submitted according to the guidelines provided by the Bureau.

Steps to Complete the C23 Form

Completing the C23 form involves several key steps:

1. Obtain the latest version of the C23 form from the Ohio Bureau of Workers' Compensation.
2. Fill in the injured worker's personal information, including name, address, and claim number.
3. Provide the new physician's name, address, and contact information.
4. Sign and date the form to certify that the information provided is accurate.
5. Submit the completed form to the Bureau through the specified submission method.

Legal Use of the C23 Form

The C23 form is legally recognized as a valid document within the framework of Ohio's workers' compensation laws. It must be filled out accurately to ensure that it meets all legal requirements. The form serves as a formal notification to the Bureau regarding changes in medical providers, which is crucial for the processing of claims and the provision of medical benefits. Failure to use the form correctly may result in delays or complications in the injured worker's treatment and claims process.

Key Elements of the C23 Form

Several key elements must be included in the C23 form for it to be valid:

• Injured Worker Information: Full name, address, and claim number.
• New Physician Information: Name, address, and contact details of the new healthcare provider.
• Signature: The injured worker's signature is required to certify the accuracy of the information.
• Date: The date on which the form is completed and signed.

Form Submission Methods

The C23 form can be submitted through various methods to ensure it reaches the Ohio Bureau of Workers' Compensation promptly. These methods include:

• Online Submission: Many users prefer to submit the form electronically via the Bureau's online portal.
• Mail: The completed form can be mailed to the appropriate Bureau office, ensuring that it is sent to the correct address.
• In-Person: Individuals may also choose to submit the form in person at designated Bureau locations.