What Information Do I Need to File for Workers’ Comp in Ohio?
When you get injured on the job in Ohio, it is up to you to make sure you receive the compensation you deserve. In most cases, this involves filing a claim with the Ohio Bureau of Workers’ Compensation (BWC). Here, Columbus workers’ compensation attorney James Malek discusses the types of information you will need to file a claim for benefits.
Completing the Ohio BWC’s “FROI”
To file for workers’ compensation, injured workers must file a First Report of an Injury, Occupational Disease or Death (FROI) form with the Ohio BWC. The instructions for the FROI state that injured employees should “complete as much of this form as possible to reduce the time necessary for BWC to determine the claim.”
The FROI form has three sections:
- Injured worker and injury/disease/death information
- Treatment information
- Employer information
1. Injured Worker Injury/Disease/Death Information
The first section of the FROI form requires you to provide your personal information (i.e., name, address, Social Security number, and marital status), as well as information about your employment (i.e., your wage, work days and hours, and occupation). You must also provide the following information about your employer and your injury:
- Employer name
- Employer mailing address and physical address (if different)
- Location where you were injured (if different from your employer’s physical address)
- Date hired and date last worked
- Date and time of your injury
- Description of the accident in which you were injured
- Description of your injury
At the end of this section, you are required to provide your signature. By signing the FROI form, you affirm that: (i) you did not inflict your injury, (ii) you are electing to receive workers’ compensation from the Ohio BWC, and (iii) you are waiving your right to compensation under the laws of any other state.
2. Treatment Information
The Instructions for the FROI form state, “[i]f you complete this form at your first visit to a medical provider, the provider should complete the treatment information section.” If your medical provider does not complete this section for you, then you will need to complete it to the best of your ability. However, there are several pieces of information your doctor’s office will ultimately need to provide.
The pieces of information you can provide include:
- Your health care provider’s name, phone number, and address
- Your diagnosis
- Whether your injury will cause you to miss eight days or more from work
- Whether you were injured in an industrial accident
3. Employer Information
The final section of the FROI form requires additional information about your employer. While you may be able to answer a few of the questions in this section, you will generally need to leave this section to be completed by your employer.
Get Help from an Experienced Columbus Workers’ Compensation Attorney
If you have been injured on the job in Ohio, you should consult with a Columbus workers’ compensation attorney to make sure you seek the maximum compensation available. To get started with a free, no-obligation consultation, you can call 888-444-7440 or contact us online 24/7.