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Sedgwick (on behalf of the Ohio Bureau of Workers' Compensation) fax number
(866) 567-9380
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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
- Website
- Visit organization website
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 instructionsSources and verification
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