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  • Bwc First Report Of Injury - Careworks

Get Bwc First Report Of Injury - Careworks

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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How to fill out the BWC First Report Of Injury - CareWorks online

Filling out the BWC First Report of Injury - CareWorks form accurately is essential for timely processing of your injury claim. This guide provides you with clear, step-by-step instructions on how to complete the form online, ensuring that all necessary information is included for the best possible outcome.

Follow the steps to fill out the form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. Begin by entering your personal information, including your last name, first name, middle initial, Social Security number, date of birth, and home mailing address.
  3. Indicate your marital status and number of dependents. Specify your wage rate and how often it is paid (hourly, weekly, monthly, or yearly).
  4. List your regular work hours and the days of the week you typically work. Include your occupation or job title, and provide the name of your employer.
  5. Fill in the accident details, including the date of injury, time of injury, place of accident, and description of the accident.
  6. Specify the type of injury or disease and the parts of your body that are affected.
  7. Review the benefit application release of information section carefully and sign the form, providing your email address and telephone number.
  8. After completing all sections of the form, save your changes, and then you can download, print, or share the completed document as necessary.

Start completing your BWC First Report Of Injury - CareWorks form online today for a smooth claim process.

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The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.

Promptness in reporting the claim is a must! As a BWC-certified provider, you play an important role in the reporting of injuries. Providers must report a worker's injury to BWC or the appropriate managed care organization (MCO) within 24 hours, or within one business day of the initial treatment or visit.

Contact the independent Ombuds Office between 8 a.m. and 4:45 p.m. EST. Phone: 1-800-335-0996. Fax: 877-321-9481. E-mail: ombudsperson@bwc.state.oh.us.

File a Workers' Compensation Claim To file a worker's compensation claim you must file a First Report of Injury (FROI) with the Ohio BWC or the managed care organization. You can complete the FROI online at ohiobwc.com or complete it and fax it to the Ohio BWC at 866-336-8352.

Call the nearest OSHA office. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).

If you have questions about what to do if you're injured at work, log on to .bwc.ohio.gov, and click on Injured worker. You can also call 1-800-644-6292, and listen to the options.

Form IA-1 Employer's First Report of Injury or Occupational Disease (FROI). As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of a work-related injury. Fatalities must be reported within 24 hours.

If you have questions about what to do if you're injured at work, log on to .bwc.ohio.gov, and click on Injured worker. You can also call 1-800-644-6292, and listen to the options.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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