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First Report of an Injury, Occupational Disease or Death This form can be completed and submitted online at ohiobwc.com Report your injury by completing all three sections of this form 1 Complete.

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(BWC Forms) - Injured Worker Forms Home - Ohio BWC
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How do you file a claim? Online: Complete the First Report of Injury, Occupational Disease or Death (FROI). Mail or Fax: You can also print the FROI (PDF), complete it, and then submit it to BWC by mail or fax to 866-336-8352.

Ohio Statute of Limitations on Workers' Compensation Claims You have one year from the date of your injury or learning of a work-related condition to file a workers' compensation claim for benefits. The clock begins to run the day you are injured, or if your injury was hidden, the day you discovered you were injured.

BWC issues certificates of coverage to employers after they submit an Application for Workers' Compensation Coverage (U-3) and pay a non-refundable application fee of $120. They'll also receive a new certificate at the beginning of each policy year.

U-117 - Notification of Policy Update: Employers should use this form to notify BWC of changes to the information on their Ohio workers' compensation policies (e.g., update business information, address/contact information, request to cancel elective coverage and request to cancel Ohio workers' compensation coverage).

If you pay your full 2023 premium by the June installment due date, you can earn a 2% Early Payment Discount. There is no need to switch to an annual installment, but the premium must be paid in full by the due date. BWC will issue the 2% refund the following month.

Use this form to notify BWC of changes to information on your policy, e.g., business info, address/contact info, request to cancel elective coverage or Ohio workers' compensation coverage.

Ohio employers with one or more employees must have workers' compensation coverage. In Ohio, all employers with one or more employees must, by law, have workers' compensation coverage.

BWC policy allows services rendered within 72 hours of the date of injury to be reimbursed even if the billed diagnosis is not an allowed code in the claim, or is on BWC's invalid code list.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232