Report an Injury
The First Report Of Injury (FROI) is the application used to initiate a workers' compensation
claim and it is now available online for use by employers, medical providers and injured
workers. You can submit the injury form via FAX or online.
If the injury involves a worker whose employer has University Hospitals CompCare as its workers'
compensation managed care organization (MCO), you can
print a blank FROI from this page,
fill it out as completely as possible, and FAX it to University Hospitals CompCare at 1-800-654-3849.
The free Adobe
Acrobat Reader software is required to display and print the form.
Or, you can complete the FROI online and submit it electronically to the Ohio Bureau of
Workers' Compensation (BWC), which will forward the appropriate information to the
employer's MCO, including University Hospitals CompCare. When completing the online form, please
use the Previous and Next buttons located at the bottom of the
page to navigate through the form.
If you are an employer and you either have or want to establish an online
account with BWC, click below to log on and complete the FROI.
Make sure you have all of the necessary information before beginning
to fill out the FROI. Click
here for a list of the information you will need.
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