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Www. bwc.ohio. gov Completing the MEDCO-13 Please print or type. Please complete one application/agreement per federal tax identification number. All provider types are not required to become BWC certified. List all practice locations use separate sheet if If you do not find your provider type in Section 1 of the needed. application please see the MEDCO-13A form available at Complete a separate application/agreement for each individual member of .

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