FROI rv 302 - OhioBWC 2025

1. Click ‘Get Form’ to open the FROI rv 302 - OhioBWC in the editor.
2. Begin by entering your personal information, including your last name, first name, middle initial, and Social Security number. Ensure accuracy as this data is crucial for processing your claim.
3. Fill in your home mailing address, sex, marital status, and date of birth. This section helps establish your identity and eligibility for benefits.
4. Provide details about your employment such as employer name, occupation or job title, wage rate, and regular work hours. This information is essential for determining compensation.
5. Document the injury details including the date of injury/disease, time of injury, and a description of the accident. Be thorough to ensure all relevant facts are captured.
6. Complete the treatment information section by providing health care provider details and diagnosis codes. This will facilitate medical claims processing.
7. Finally, review all entries for accuracy before signing and dating the form. Once completed, submit it to your employer’s managed care organization or local BWC office.

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