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Ohio Salary Continuation Agreement (C-55)
SKU: FFOH155 |   E-mail this product to a friend
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Product Description

Employers can use this form to acknowledge an agreement between themselves and an employee to pay salary/wage continuation in lieu of temporary total or living maintenance compensation. BWC is not a party in this agreement. Regular (full) salary/wages includes any benefits that the employee would normally be entitled to if the employee was working. This form must be signed by the employee and the employer.
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