This is one of the official workers' compensation forms for the state of Ohio.
Franklin Ohio Motion for Workers' Compensation
Category:
State:
Ohio
County:
Franklin
Control #:
OH-C86-WC
Format:
PDF
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FAQ
BWC pays medical benefits and lost wages to employees who are injured or contract an occupational disease on the job. We also pay death benefits to survivors when a death results from a work-related injury or disease. Ohio law requires employers to obtain workers' compensation insurance for all employees.
Phone: Call BWC at 1-800-644-6292 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.
The Ohio Bureau of Workers' Compensation (BWC) is the primary state agency that handles workers' comp claims. Most of the law for WC insurance is contained in Ohio's Workers' Compensation Act (Chapter 4123 of the Ohio Revised Code).
BWC pays medical benefits and lost wages to employees who are injured or contract an occupational disease on the job. We also pay death benefits to survivors when a death results from a work-related injury or disease. Ohio law requires employers to obtain workers' compensation insurance for all employees.
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.
How do you claim? Inform your supervisor or employer as soon as possible (verbally or in writing). Make note of anyone who witnessed the accident. The form that needs to be completed is WCL 2: Notice of Accident and Claim for Compensation.
Actually, you, your employer, a medical provider, your employer's managed care organization or a legal representative can file the claim with us. We accept claims online, by phone, fax, mail or in person.
Within one year of the date of injury or death.