OhioBWC - Common - Form:  (C-108) - Introduction

Waiver of Appeal Period (C-108)
Injured workers, employers and/or their respective representatives should use this form to waive appeal rights on a BWC or IC order. Both parties must sign the waiver to waive (or cancel) the appeal period. BWC will not cancel the appeal period unless both parties sign the waiver. Once BWC receives the waiver, we can pay any pending compensation or medical bills. Waiving the right to appeal an order does not prohibit the right to appeal any future orders pertaining to a claim.

Required information
  • Date of the BWC or IC order being waived
  • Name of the party filing the waiver, i.e., injured worker, injured worker representative, employer, employer representative
  • Name of person completing form

If you have all the required information on hand, simply click the start button to begin.