Purpose of form: To notify BWC when an employer succeeds, in whole or in part, another in the operation of a business.
If the succeeding employer does not have Ohio workers’ compensation coverage, he or she must complete an Application for Ohio Workers’ Compensation
Coverage (U-3) in addition to the Notification of Business Acquisition/Merger or Purchase/Sale (U-118). If the succeeding employer has Ohio workers’
compensation coverage, he or she only needs to submit the U-118.
Ohio workers’ compensation rule (Rule 4123-17-02 Basic or manual rate) requires an employer that succeeds another employer in the operation of
a business, in whole or in part, to notify BWC of the succession. Additionally, the succeeding employer must preserve the former employer’s payroll
records for the five years preceding the date of succession.
Whenever one employer succeeds another employer in the operation of a business, in whole or in part, BWC requires information on the succession
to calculate the experience rating of the succeeding employer. Additionally for successions taking place on or after Sept. 1, 2006, where one employer
wholly succeeds in the operation of a business, BWC shall transfer to the successor any and all existing and future liabilities or credits of the former
employer in addition to the experience transfer.
If an employer purchases or acquires only a portion of the business, BWC transfers only that portion of the former employer’s experience to the
succeeding employer. A BWC auditor will inspect the former employer’s payroll and claims records to determine what should transfer to the successor
for rate calculation purposes.
1 Complete all sections of this form and provide as many details as possible to avoid unnecessary requests for additional information;
2 Sign and date the form;
3 Mail the completed form to:
Notification of Business
Acquisition/Merger or Purchase/Sale
BWC-7624 Rev. 11/29/06
Have questions? Need assistance? BWC is here to help!