Ohio First Report of Injury, Occupational Disease or Death is a mandatory report required by the Ohio Bureau of Workers' Compensation (BWC) for all workplace injuries, diseases or fatalities that occur in the state. This report is intended to provide injury and illness data to the BWC to help them improve safety and health in the workplace. It must be completed by employers within one business day after a work-related injury, disease or death has occurred. Types of Ohio First Report of Injury, Occupational Disease or Death include: • First Report of InjuryFROMOI) • First Report of Occupational DiseaseFROMOD) • First Report of Death (FRD)
Ohio First Report Of Injury Occupational Disease Or Death
State:
Ohio
Control #:
OH-SKU-1502
Format:
PDF
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First Report Of Injury Occupational Disease Or Death
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The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process. Details of the claimant's employment and circumstances surrounding the injury or illness are also requested.
(C) "Injury" includes any injury, whether caused by external accidental means or accidental in character and result, received in the course of, and arising out of, the injured employee's employment.
Phone: Call BWC at 800-644-6292 from a.m. to p.m. (EST) or a local BWC customer service office. The customer service representative will ask the questions needed to complete the form and will submit it.
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. Note: If the injured worker's employer is self-insuring, report the claim directly to the employer. Report the injury to the appropriate MCO.
Report the injury or illness to your employer If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.
Ing to the Ohio Bureau of Workers' Compensation (BWC), you have one year to file a notice of injury. This covers all accidents and injuries, including those that result in the death of a worker.
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.
For assistance please call 1-800-644-6292. You are about to begin filing a First Report of Injury as a provider.