Form FROI-1 (BWC-1101) First Report of an Injury, Occupational Disease or Death - Ohio

Form FROI-1 (BWC-1101) First Report of an Injury, Occupational Disease or Death - Ohio

What Is Form FROI-1 (BWC-1101)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form FROI-1?
A: Form FROI-1 (BWC-1101) is the First Report of an Injury, Occupational Disease or Death in Ohio.

Q: What is the purpose of Form FROI-1?
A: The purpose of Form FROI-1 is to report any work-related injuries, occupational diseases, or deaths to the Ohio Bureau of Workers' Compensation.

Q: When should Form FROI-1 be filed?
A: Form FROI-1 should be filed within one week after knowledge of the injury, disease, or death.

Q: Who needs to fill out Form FROI-1?
A: Employers or their authorized representatives are responsible for filling out Form FROI-1.

Q: What information should be included in Form FROI-1?
A: Form FROI-1 should include details about the injured worker, the nature of the injury or disease, the date and location of the incident, and other relevant information.

Q: What happens after filing Form FROI-1?
A: After filing Form FROI-1, the Ohio Bureau of Workers' Compensation will review the information and may contact the employer or injured worker for additional details.

Q: Are there any penalties for not filing Form FROI-1?
A: Failure to file Form FROI-1 in a timely manner may result in penalties or fines imposed by the Ohio Bureau of Workers' Compensation.

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Form Details:

  • Released on June 12, 2014;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FROI-1 (BWC-1101) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form FROI-1 (BWC-1101) First Report of an Injury, Occupational Disease or Death - Ohio

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