Forms and Documents

Prior to downloading your form, please note the following:

  • Forms listed here are in Portable Document Format  (PDF) . You will need Acrobat Reader plug-in to open PDF files. Please visit Adobe website to download the plug-in.
  • After you click on any form, you will be able to see the purpose and requirements of the document. Please take time to read these requirements to check if they are applicable to you. Some of the documents presented here may not apply to you depending on your situation.
  • Some forms may be available for electronic filing.
  • The forms below are not in alphabetical order, please look carefully for the form you require.
  • When a form is due to expire, the form and any changes must be reviewed by the management. If a form expires while it is being reviewed, the form may still be used. Once a new edition is available, the website will be updated to ensure only useable editions are listed.
Last updated: 09/12/2011 2:00:00 PM
Copyright Aultman Health Foundation
AultCare Information Systems
 
 
AC 3-Form
Form Name Description Edition Info Download
form image Online AC 3 Form Online Authorization for AultComp Administrators including its agents or representatives to review and perform studies on certain workers’ compensation matters on our behalf. 8/25/2007 download
form image Pdf AC 3 Form Authorization for AultComp Administrators including its agents or representatives to review and perform studies on certain workers’ compensation matters on our behalf. Form BWC0503. 6/27/2005 download
Back To Top
AultComp Administrators
  1. is based in Canton, Ohio.
  2. is a division of AultCare.
  3. shares AultCare's commitment to excellence in customer service.
  4. offers Case Management, Hearing Attendance, and Customized Reporting services.