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Bwc 1101 rev 6 12 2014

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The document is a form for reporting an injury, occupational disease, or death to the Ohio Bureau of Workers' Compensation (BWC). It outlines the steps for injured workers to complete and submit the form, including providing personal and employer information, details about the injury or disease, and treatment information. The form must be delivered to the employer or their managed care organization (MCO), with instructions for self-insuring employers and contact information for various BWC customer service offices.

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What is my Ohio BWC provider number?

Providers may also email or call MCOs or our provider contact center at feedback.medical@bwc.state.oh.us or 1-800-477-2292 to obtain their provider number.

How does workers comp work in Ohio?

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.

What is first report of injury form Ohio?

OhioBWC - Common - Form: (FROI) - Introduction. Injured workers, employers or medical providers use this form to initiate a workers' compensation claim. Whoever completes the form should provide as much detailed information as possible.

What is Froi and Sroi?

FROI and SROI Data Quality The Workers' Compensation Information System (WCIS) collects First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI) submitted electronically by claims administrators and their trading partners.

What is my Ohio BWC provider number?

Providers may also email or call MCOs or our provider contact center at feedback.medical@bwc.state.oh.us or 1-800-477-2292 to obtain their provider number.

How do I get a BWC certificate in Ohio?

BWC issues certificates of coverage to employers after they submit an Application for Workers' Compensation Coverage (U-3) and pay a non-refundable application fee of $120. They'll also receive a new certificate at the beginning of each policy year.

Who is the administrator of the Ohio Bureau of Workers Compensation?

Administrator/CEO of the Bureau of Workers' Compensation Ohio Governor Mike DeWine appointed Stephanie McCloud Administrator/CEO of the Ohio Bureau of Workers' Compensation in January 2019.

What is Froi?

The employer is responsible for completing the First Report of Injury (FROI) form and submitting it to its workers' compensation insurance company within 10 days of the first day of disability or the date they were aware of disability, whichever is later.

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