To receive a free, no-obligation analysis, simply download, print and complete an AC-3 Temporary Authorization Form (below). Sign and return via fax at (513) 326-4682 or mail it to: Sheakley UniService, Inc., P.O. Box 42212, Cincinnati, OH 45242. The Bureau of Workers' Compensation requests your signature for Sheakley to perform an analysis for your company. You will receive the results of our analysis within 4-6 weeks from the time we receive your application.
