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Self-insured Joint Settlement Agreement and Release Instructions Please print or type Please file completed application at the nearest regional office of the Industrial Commission of Ohio IC.

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The Ohio Bureau of Workers' Compensation (BWC) can take up to 28 days to decide on your full claim, including other benefits besides medical, but it sometimes moves faster. Typically, all benefits start within a month. You become eligible for lost wages payments after you lose seven days of work.

You can guarantee we will receive your installment payments on time by paying online. Refer to Creating an e-account to get started. Once you have an e-account, sign-in to our website, and then click the Make a payment button. You can pay online by the following options.

How much does workers' compensation insurance cost in Ohio? Estimated employer rates for workers' compensation in Ohio are $0.74 per $100 in covered payroll. A number of factors can affect your premium, including: Payroll.

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Ohio law requires employers to obtain workers' compensation insurance for all their employees. Ohio employers are either state-funded or self-insuring.

C-23 - Notice to Change Physician of Record: Injured workers should use this form to notify their managed care organization (MCO) of a change of physician. Injured workers must choose a physician who is BWC-certified.

Injured workers must use this form to initiate or extend payment of temporary total disability benefits. The injured worker provides information about employment and benefits received during the time of disability.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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