Ohio Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
Online: You can file a claim online via the Ohio Bureau of Workers' Compensation (BWC) website. Simply visit and click on the ?File a Claim? button on the homepage. Follow the prompts to complete and submit the form.
For assistance please call 1-800-644-6292. Your user account does not have access to complete a First Report of Injury (FROI) online. For assistance please call 1-800-644-6292.
When you have been injured in an accident at work, you have one year to file a claim with the Ohio Bureau of Workers' Compensation (BWC). The BWC processes applications for workers' compensation and will issue a decision regarding your case within 28 days of filing.
Submit the form to BWC in one of the following ways. Online: bwc.ohio.gov, Fax: 1-866-336-8352, Mail: BWC Mail Processing Center, Attn: Claims, 30 W. Spring St. Columbus, OH 43215 Note: If you work for a self-insuring employer, submit this form to your employer's workers' comp manager.
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. The MCO is still responsible for determining that the services were related to the industrial injury.
Every case is unique, but there are a few steps that everyone should take after a workplace injury. Your first priority is to seek medical treatment immediately. Then, notify your employer of your injury. ... Your employer has a duty to file a claim with its insurer and with the Ohio Bureau of Workers' Compensation.
Unlike personal injury claims, which typically have a two-year statute of limitations, injury-based Ohio workers' compensation claims must be filed within one year of the injury-causing event.
You can file your claim online at .ohiobwc.com. You can also get this form from a BWC customer service office or by calling 1-800-OHIOBWC. Under HPP, injured workers must visit BWC-certified medical providers for treatments ? except in an emergency or initial visit.