AGREEMENT COVERING COMPENSATION REIMBURSEMENT DURING THE PERIOD CLAIM IS PENDING BEFORE THE BUREAU OF WORKERS’ COMPENSATIONCompensation Reimbursement Agreement • May 27th, 2009
Contract Type FiledMay 27th, 2009, who alleges an injury while in the course and arising out of his employment on with the named employer herein, that since such employer has or will advance to the claimant his regular wages, or part hereof, for a reasonable period from the date following said injury, the claimant authorized the Bureau of Workers’ Compensation of Ohio to mail his warrants for compensation in care of the employer.