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Sedgwick (on behalf of the Ohio Bureau of Workers' Compensation) fax number

(866) 567-9380

AC3 – Temporary Authorization to Review Information (AC-3)

Used for: Fax submissions of the AC-3 form and related documents to Sedgwick for Ohio BWC; used to authorize review of information and to submit safety training records.

Fax destination details

Department
AC3 – Temporary Authorization to Review Information (AC-3)
Purpose
Fax submissions of the AC-3 form and related documents to Sedgwick for Ohio BWC; used to authorize review of information and to submit safety training records.
Form
AC-3 — Temporary Authorization to Review Information (AC-3)
Address
Sedgwick, P.O. Box 884, Dublin, OH 43017, USA
Voice phone
800-825-6755

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out the AC-3 form and fax it to the toll-free number 866-567-9380 as directed by Ohio BWC/Sedgwick; include required company and policy details.

Review official form instructions

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