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The C 230 Ohio form serves as a crucial document for individuals navigating the workers' compensation system in Ohio. It allows injured workers to authorize their attorneys to receive compensation payments directly from the Bureau of Workers' Compensation (BWC). To ensure the form is valid, it must be completed in full, including the correct claim number, and submitted for each specific claim or application. Timeliness is essential; the form must be filed prior to hearings or payment dates, depending on the type of compensation being requested. Various types of compensation can be specified on the form, including temporary total disability, wage loss, and permanent partial disability, among others. Importantly, the authorization does not grant the attorney the ability to cash or endorse checks on behalf of the injured worker. Once the BWC has processed the payments, the authorization ceases to be effective unless further actions, such as appeals or hearings, are initiated. Additionally, the form is only valid if filed within 18 months from the date of the worker's signature, emphasizing the need for prompt and accurate submission.
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Authorization to Receive Workers' Compensation Payment
Injured worker's name
Attorney's name
Claim number
Representative ID number
Instructions for completion
•You must complete this form in its entirety, including the correct claim number.
•You must file a separate authorization for each claim and for each application, motion or order.
BWC will not honor an authorization that is not completed in its entirety, is altered but not initialed by the party altering the form or is not timely filed.
Time limits for filing are as follows:
On all types of compensation, other than an application for the percentage of permanent partial compensation
•Prior to or at the hearing;
•Prior to the date of the payment of compensation (before the award is issued) whether the award of compensation was made at a hearing or made without a hearing.
On any compensation paid pursuant to a
•With the application or the agreement for permanent partial disability;
•With the application for the election of permanent partial from temporary partial;
•With the Industrial Commission of Ohio at the hearing;
•After the hearing but prior to the date of mailing of the hearing officer order.
I hereby authorize and direct BWC to mail directly to my attorney the compensation payment in the above numbered claim for the accrued portion of my award as specified below. You must specify the date of the application, request, motion or order.
Application, request, motion or order dated _____/_____/_____ for the type(s) of compensation listed below.
Check all that apply.
Temporary total |
Impairment of earning capacity |
Wage loss |
Violation of specific safety |
Change of occupation |
Facial disfigurement |
Scheduled loss |
Lump sum settlement |
Permanent total disability |
Percentage permanent partial |
Death benefits |
Lump sum advancement |
This authorization does not give my attorney the authority to cash or endorse a check on my behalf.
This authorization shall not continue in effect after BWC has paid said award(s) on the original application noted above unless there is a subsequent hearing, appeal or reconsideration after payment was made.
This authorization is not valid if it is filed beyond 18 months from the date of my signature.
Injured worker’s/claimant’s signature
Date
Form Specifications
| Fact Name | Description |
|---|---|
| Purpose | The C 230 form is used to authorize the Bureau of Workers' Compensation (BWC) to send compensation payments directly to an injured worker's attorney. |
| Required Information | Injured worker's name, attorney's name, claim number, and representative ID number must all be completed for the form to be valid. |
| Filing Requirements | A separate C 230 authorization must be filed for each claim and for each application, motion, or order related to that claim. |
| Time Limits | The form must be filed prior to the hearing or payment date. For C-92 applications, it must be submitted with the application or agreement. |
| Validity Duration | The authorization is valid for 18 months from the date of the injured worker's signature unless further actions are taken. |
| Legal Reference | This form is governed by Ohio Workers' Compensation laws, specifically those pertaining to the administration of claims and payments. |
C 230 Ohio: Usage Guidelines
Completing the C 230 Ohio form requires careful attention to detail. Each section must be filled out accurately to ensure that the authorization is processed without delays. After submission, the form allows for the designated attorney to receive compensation payments on behalf of the injured worker.
- Begin by entering the injured worker's name in the designated field at the top of the form.
- Next, input the attorney's name in the corresponding section.
- Locate the claim number field and fill in the correct claim number associated with the worker's compensation case.
- Provide the representative ID number of the attorney, ensuring it is accurate.
- Review the instructions for completion and ensure you have the correct claim number and that the form is complete.
- Specify the date of the application, request, motion, or order in the format of month/day/year.
- Check all applicable compensation types from the list provided, including options like temporary total or permanent total disability.
- Sign the form in the designated area to authorize the submission.
- Lastly, date the form with the current date of your signature.
Your Questions, Answered
What is the purpose of the C 230 Ohio form?
The C 230 Ohio form is used to authorize the Bureau of Workers' Compensation (BWC) to send workers' compensation payments directly to your attorney. This is particularly important for injured workers who want their legal representatives to handle their compensation claims. By completing this form, you ensure that your attorney receives the payment promptly and can assist you in managing your claim effectively.
How do I complete the C 230 form correctly?
To complete the C 230 form, you must fill in all required fields accurately. This includes your name, your attorney's name, and the claim number. It’s crucial to file a separate authorization for each claim and each application, motion, or order. Make sure the form is not altered without initials from the person making changes, and submit it within the specified time limits. Incomplete or improperly filed forms will not be honored by the BWC.
What are the time limits for filing the C 230 form?
The C 230 form must be filed before or at the time of a hearing and before any payment of compensation is issued. For applications related to permanent partial compensation (C-92), the form must accompany the application or agreement. Additionally, it should be filed with the Industrial Commission of Ohio at the hearing or shortly after the hearing, but before the mailing of the hearing officer's order. It’s essential to adhere to these timelines to ensure your attorney can receive the compensation on your behalf.
What types of compensation can I authorize my attorney to receive?
You can authorize your attorney to receive various types of compensation, including temporary total benefits, impairment of earning capacity, wage loss, and violation of specific safety regulations, among others. The form allows you to check all applicable types of compensation that you are entitled to receive. However, it’s important to note that this authorization does not give your attorney the authority to cash or endorse checks on your behalf.
How long is the authorization valid?
The authorization provided through the C 230 form is valid only until the BWC has paid the awarded amounts for the original application. If there are subsequent hearings, appeals, or reconsiderations after the payment, the authorization may still apply. However, it becomes invalid if filed more than 18 months after your signature date. Keep this timeframe in mind to ensure your authorization remains effective.
Common mistakes
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Incomplete Information: Failing to fill out all required fields can lead to delays. Ensure the injured worker's name, attorney's name, claim number, and representative ID number are all provided.
-
Missing Separate Authorizations: Each claim requires its own authorization. Do not submit multiple claims on a single form.
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Timeliness Issues: Submit the form before the hearing or payment date. Late submissions will not be honored.
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Failure to Specify Dates: Always include the date of the application, request, motion, or order. Omitting this information can invalidate the authorization.
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Incorrectly Checked Compensation Types: Ensure all applicable compensation types are checked. Missing or incorrect selections can cause complications in processing.
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Invalid Signature Timing: The authorization must be filed within 18 months from the date of your signature. Submitting it after this period will render it invalid.
Documents used along the form
When dealing with workers' compensation claims in Ohio, several forms and documents are commonly used alongside the C 230 Ohio form. Each document plays a crucial role in the claims process, ensuring that all necessary information is properly submitted and processed. Below are some of the key forms you might encounter.
- C-92 Form: This form is used to apply for a percentage of permanent partial compensation. It outlines the injured worker's claim for compensation based on the degree of their permanent impairment.
- BWC-1360 Form: This is the application for temporary total compensation. It allows injured workers to request benefits while they are unable to work due to their injuries.
- IC-2 Form: The Industrial Commission of Ohio requires this form for scheduling a hearing regarding a claim. It helps facilitate the process when disputes arise or when additional information is needed.
- IC-3 Form: This form is used to file an appeal with the Industrial Commission. If a worker disagrees with a decision made regarding their claim, they can submit this form to seek a review.
- Agreement of Parties: This document is often created when both the injured worker and the employer agree on the terms of compensation. It outlines the specifics of the settlement reached between the two parties.
Understanding these forms can simplify the workers' compensation process and help ensure that all necessary steps are taken to secure benefits. Each document serves a unique purpose, and being familiar with them can make navigating the system more manageable.
Similar forms
- Form C-92: Application for Percentage of Permanent Partial Compensation - Similar to the C 230 Ohio form, the C-92 also requires specific details regarding the injured worker and their claim. Both forms necessitate timely filing and aim to facilitate the receipt of compensation for the injured party. However, the C-92 specifically addresses applications for permanent partial disability, while the C 230 focuses on authorizing payment to an attorney.
- Form C-86: Application for Permanent Total Disability Compensation - The C-86 form is another document that shares similarities with the C 230 Ohio form. Both forms require the claimant's information and details about the compensation being requested. The C-86 specifically pertains to permanent total disability claims, while the C 230 is about authorizing payment to a representative.
- Form C-141: Application for Temporary Total Compensation - Like the C 230, the C-141 form is designed to facilitate the compensation process for injured workers. Both forms need to be filled out completely and filed in a timely manner. The C-141 specifically addresses temporary total compensation, whereas the C 230 focuses on the authorization for payment to an attorney.
- Form C-7: Notice of Appeal - The C-7 form is similar in that it involves the process of appealing a decision related to workers' compensation claims. Both forms require accurate information and adherence to specific filing timelines. However, while the C 230 authorizes payment to an attorney, the C-7 is used to formally contest a decision made by the Bureau of Workers' Compensation.
Dos and Don'ts
Filling out the C 230 Ohio form correctly is crucial for ensuring that your workers' compensation payments are processed smoothly. Here’s a list of things you should and shouldn't do when completing this form.
- Do complete the form in its entirety, including the correct claim number.
- Do file a separate authorization for each claim and each application, motion, or order.
- Do ensure that the form is filed timely according to the specified deadlines.
- Do specify the date of the application, request, motion, or order clearly.
- Do check all types of compensation that apply to your situation.
- Don't alter the form without initialing the changes.
- Don't forget that this authorization is not valid if filed more than 18 months from the date of your signature.
By adhering to these guidelines, you can help ensure that your workers' compensation process goes as smoothly as possible. Remember, attention to detail is key!
Misconceptions
Understanding the C 230 Ohio form, which authorizes the receipt of workers' compensation payments, is crucial for injured workers and their legal representatives. However, several misconceptions can lead to confusion and potential issues. Here are nine common misconceptions about this form:
- It can be filed for multiple claims at once. Each claim requires a separate C 230 form. Filing one form for multiple claims will not be accepted.
- It is not necessary to fill out the form completely. The form must be filled out in its entirety, including the correct claim number. Incomplete forms will not be honored.
- Timeliness of filing is not important. Timely filing is crucial. The authorization must be submitted before the payment of compensation or at the hearing.
- My attorney can cash the check on my behalf. The authorization does not grant the attorney the authority to cash or endorse checks. It only allows for direct payment to the attorney.
- Once filed, the authorization remains valid indefinitely. The authorization is only valid until the BWC has paid the award. It does not continue after payment unless there is a subsequent hearing or appeal.
- Any alterations to the form are acceptable. Alterations must be initialed by the party making the changes. Uninitialed alterations will invalidate the form.
- The form does not expire. The C 230 form is only valid for 18 months from the date of the injured worker's signature. After this period, it cannot be used.
- It is not necessary to specify the type of compensation. The form requires the injured worker to check all applicable types of compensation being requested.
- Only one signature is needed. The injured worker must sign the form, and any changes or authorizations must be properly documented and signed as required.
Clarifying these misconceptions can help ensure that injured workers and their attorneys navigate the workers' compensation process more effectively, avoiding unnecessary delays or complications.
Key takeaways
When dealing with the C 230 Ohio form, understanding the details can make a significant difference in the process of receiving workers' compensation payments. Here are some key takeaways to keep in mind:
- Complete the Form Fully: Ensure that every section of the form is filled out completely, including the correct claim number.
- Separate Authorizations: You must file a separate authorization for each claim and for every application, motion, or order.
- Timeliness is Crucial: The authorization must be filed on time. If it is not, it may not be honored.
- Filing Before Payments: For most types of compensation, file the authorization before the payment is made or at the hearing.
- Specific Deadlines: For C-92 applications or agreements, file the authorization with the application or agreement itself.
- Direct Payment to Attorney: The form allows you to authorize the Bureau of Workers' Compensation (BWC) to send payments directly to your attorney.
- Limitations on Authority: This authorization does not give your attorney the right to cash or endorse checks on your behalf.
- Expiration of Authorization: The authorization is only valid for 18 months from the date of your signature.
- Post-Payment Validity: Once the BWC has paid the award, the authorization does not remain in effect unless there is a subsequent hearing or appeal.
By keeping these points in mind, you can navigate the process more smoothly and ensure that your rights and interests are protected.