The Ohio OS 24 form plays a crucial role for businesses and individuals needing to access workers' compensation forms and publications through the Office Services of the Ohio Bureau of Workers' Compensation (BWC). Located at 3655 Brookham Drive in Grove City, Ohio, this service offers a wide array of essential documents necessary for managing workers' compensation claims and related procedures. Users are encouraged to provide a physical address for delivery, as postal box deliveries are restricted due to United Parcel Services' shipping regulations.
The Ohio OS 24 form serves as a critical tool for managing and accessing various forms and publications related to workers' compensation and workplace safety in Ohio. Located at the Office Services Forms & Publications in Grove City, this resource is essential for employers, medical providers, and employees navigating the intricacies of workers' compensation claims and compliance. With a comprehensive list that includes but is not limited to forms for temporary authorization, death benefits, treatment plans, wage agreements, and applications for compensation, the Ohio OS 24 enables streamlined communication and efficient processing of essential documents. Additionally, it caters to a broader spectrum of needs by offering publications on medical guides, fraud awareness, and safety regulations. This availability bolsters understanding and adherence to Ohio’s workers' compensation system, ensuring stakeholders have the necessary tools at their disposal to advocate for their rights, fulfill their responsibilities, and promote a safe working environment. Given the form's directive to provide a physical address for delivery due to United Parcel Services' shipping regulations, the system underscores the importance of tangible, accessible resources in the digital age. Aimed at simplifying administrative procedures, the Ohio OS 24 form is indispensable for promptly addressing the diverse needs of Ohio’s workforce and employers.
OFfiCE SERVICES FORMS & PUBLICATIONS 3655 Brookham Drive Grove City, Ohio 43123
Call: 1-800-OHIOBWC, and listen to the options Fax: 614-621-5746
Please provide your physical address.
Due to United Parcel Services’ shipping regulations, we cannot to make deliveries to post office boxes.
Date
Customer ID number
Contact name
Telephone number
Company name
Email address
Address
City
State
ZIP code
FORMS AVAILABLE
Quantity Form no.
Title
AC-3
Temporary Authorization
C-5
Additional Information for Death Benefits
C-9
Physician’s Report/Treatment Plan for Industrial
Injury or Occupational Disease
C-9A
Request for Additional Medical Documentation for C-9
C-11
Request to Appeal MCO Medical Treatment/
Service Decision
C-17
Pharmacy Invoice
C-18
Wage Agreement
C-19
Service Invoice
C-23
Change of Doctor Request
C-32
Application for Lump Sum Advancement
C-44
Physician’s Certificate in Proof of Death
C-58
Application for Adjustment of Claim in Case of Fatal
Injury
C-59
Self-Insurer’s Agreement as to Compensation on
Account of Death
C-60
Injured Worker Statement for Reimbursement of Travel
Expense
C-77
Injured Workers’ Change of Address
C-84
Request for Temporary Total Compensation
C-86
Motion
C-92
Application for Determination of the Percentage of
Permanent Partial Disability or Increase of Permanent
Partial Disability
C-94A
Wage Statement
C-101
Authorization to Release Medical Information
C-108
Request for Waiver of Appeal
C-110
Agreement to Select The State of Ohio as the
State of Exclusive Remedy
C-112
Agreement to Select a State Other than Ohio as
the State of Exclusive Remedy
C-140
Application for Wage Loss Compensation
C-141
Wage Loss Statement for Job Search
C-143
DEP Physician’s Report of Work Ability
C-159
Waiver of Workers’ Compensation Benefits for
Recreational or Fitness Activities
Quantity
Form no.
C-190
Justification of Medical Necessity for Seating/
Wheeled Mobility
C-230
Authorization to Receive Workers’ Compensation
Check
C-240A
Notice of Exception to Employer’s
Signature Requirement
C-240
C-241
Amended Settlement Agreement and Release
CHP-4A
Application for Handicapped Reimbursement
FROI-1
First Report of Injury, Occupational Disease or Death
MEDCO-13
Application for Provider Enrollment and Certification
MEDCO-13A
Application for Provider Enrollment-Non Certification
MEDCO-14
Report of Work Ability
R-1
Authorization of Representative of Employer
R-2
Authorization of Representative of Injured Worker
RH-1
Rehabilitation Agreement
RH-2
Individualized Vocational Rehabilitation Plan
RH-5
Trainer’s Report
RH-6
On-The-Job Training Agreement
RH-7
Loan/Lease Agreement for Tools and Equipment
RH-10
Injured Worker’s Record of Job Search Contacts
RH-18
Authorization for Living Maintenance Wage Loss (LMWL
RH-19
Employer Incentive Contract
RH-21
Vocational Rehabilitation Closure Report
RH-24
Gradual Return to Work Contract Employer
Reimbursement Method
SI-28
Filing of an Allegation Against a Self-Insured Employer
SI-42
Self-Insured Joint Settlement Agreement and Release
SI-43
Acknowledgment of the Self-Insured Joint
Settlement Agreement and Release
U-3
Application for Ohio Workers’ Compensation Coverage
U-3S
Application for Optional Supplemental Coverage
U-117
U-118
Notification of Business
Acquisition/Merger or Purchase/Sale
BWC-5026 (REV. 12/03/2013)
OS-24
PUBLICATIONS AVAILABLE
Form number
CD 106
BWC Medical Guide
FB
Fraud Brochure
FBLW
Fraud Brochure Law
FBMCO
Fraud Brochure MCO
FBSI
Fraud Brochure Self Insured
FFFI
Fraud Flyer Financial
FFPH
Fraud Flyer Pharmacy
FP 01
Fraud Poster
FS 01
Fraud Sticker
Forms & Publications List
PERRP
Safety and Health Protection on the Job Poster
Prepared by
Agent number
Initials
Forms that are not listed here are not available through BWC office services forms and publications.
You may obtain Industrial Commission of Ohio (IC) forms by calling the IC forms and
publications number at 614-644-8009.
Filling out the Ohio OS-24 form is a straightforward process that involves providing detailed information about the forms and publications you need from the Office of Worker’s Compensation. This guide will show you how to navigate through each section, ensuring your request is processed efficiently.
After submitting the form, your request for forms and publications will be processed. Keep in mind, if additional information or clarification is necessary, you may be contacted via the telephone number or email provided. Please allow some time for delivery, keeping in mind that delivery times can vary. Should you have questions about your request or need further assistance, don’t hesitate to reach out to the Office of Worker’s Compensation at 1-800-OHIOBWC.
What is the Ohio OS 24 form?
The Ohio OS 24 form is a comprehensive list and request form for various workers' compensation documents and publications available through the Ohio Bureau of Workers' Compensation (BWC). It includes options for ordering forms related to injury claims, medical treatment, compensation, employer responsibilities, and workers' rights among others.
How can I order forms or publications using the Ohio OS 24 form?
To order forms or publications using the Ohio OS 24 form, you need to provide your contact information, including your physical address, and specify the quantity and the form numbers of the documents you wish to order. You cannot request deliveries to post office boxes due to United Parcel Services’ shipping regulations. You can then fax your completed form to 614-621-5746 or call 1-800-OHIOBWC for further instructions.
Why can't I have documents delivered to a PO Box?
Due to shipping regulations set by United Parcel Services (UPS), deliveries cannot be made to post office boxes. This ensures that the materials are securely delivered to physical addresses where recipients can directly receive and sign for them if necessary.
What are some examples of forms available through the OS 24 form?
Examples include AC-3 Temporary Authorization, C-9 Physician’s Report/Treatment Plan, C-84 Request for Temporary Total Compensation, MEDCO-13 Application for Provider Enrollment and Certification, and many others designed to aid in the workers' compensation claims process and ensure proper health care and compensation for workers.
Are there any resources available for addressing fraud?
Yes, the OS 24 form lists various fraud-related resources such as the Fraud Brochure for different sectors (law, managed care organizations, self-insured entities), Fraud Flyers (Financial, Pharmacy), and Fraud Posters, aimed at educating and preventing workers' compensation fraud.
Can I find rehabilitation and training agreements on the OS 24 form?
Yes, there are forms such as RH-6 On-The-Job Training Agreement, RH-7 Loan/Lease Agreement for Tools and Equipment, and RH-24 Gradual Return to Work Contract among others focused on rehabilitation and vocational training for injured workers.
How do I obtain forms not listed on the OS 24 form?
For forms not listed on the OS 24, individuals should contact the Industrial Commission of Ohio (IC) by calling their forms and publications number at 614-644-8009 to access additional resources not available through the BWC's office services.
Who prepares the OS 24 form?
The OS 24 form is prepared by an agent of the Ohio Bureau of Workers' Compensation, as indicated by the section for "Prepared by Agent number" and "Initials" at the bottom of the form. This ensures that the form and its contents are officially sanctioned and up to date.
Is there a charge for ordering through the OS 24 form?
The form itself does not specify charges for the ordering of documents. Typically, materials provided by state agencies like the Ohio BWC for workers' compensation purposes are available free of charge or at a nominal printing cost. However, for large bulk orders, it's advisable to contact the BWC directly to inquire about any potential costs.
How often is the OS 24 form updated?
The revision date at the bottom of the OS 24 form indicates its latest update. While the form specifies a revision date of December 3, 2013, it is essential to check with the Ohio BWC directly or visit their website to ensure you have the most current version and information regarding available forms and publications.
When filling out the Ohio OS 24 form, attention to detail is crucial for a smooth process. Unfortunately, errors can occur, which may lead to delays or complications. Below are nine common mistakes individuals make when completing this form:
While filling out forms can be tedious, paying close attention to these details will ensure that your experience with the Ohio OS 24 form is as smooth and efficient as possible. Taking the time to review and double-check your information before submission can save you a significant amount of time and effort in the long run.
When managing workers' compensation claims in Ohio, the OS-24 form provides a comprehensive list of forms and publications that businesses, healthcare providers, and injured workers might need. However, alongside the OS-24 form, there are other essential documents and forms frequently required to successfully navigate the claims process. These documents help ensure that all aspects of a claim are properly documented, appealed, or processed for benefits.
These documents play vital roles in the life cycle of a workers' compensation claim. From reporting the injury and assessing work ability to applying for benefits and agreeing on a rehabilitation plan, each form addresses a different need that arises during the claim process. Understanding and utilizing these forms correctly can streamline the process, ensuring that injured workers receive the support they need for recovery and return to work.
The Ohio OS 24 form, serving as a comprehensive directory for workers' compensation documents and resources, shows similarities to the First Report of Injury, Occupational Disease or Death (FROI-1) form. Both are integral to the process of managing workers' compensation claims in Ohio. The FROI-1 initiates the claims process by documenting the initial report of an injury, occupational disease, or death resulting from workplace activities. Like the OS 24, it facilitates the necessary administrative steps to ensure that workers receive appropriate compensation and benefits following a workplace incident. Each form plays a crucial role in the overarching structure of workers' compensation procedures, ensuring both the workers' and the employers' obligations and rights are clearly communicated and upheld.
The MEDCO-13, or the Application for Provider Enrollment and Certification, represents another document with functions akin to those found in the OS 24 form. While the OS 24 form lists available forms and publications related to workers' compensation, the MEDCO-13 specifically caters to healthcare providers seeking to participate in the Ohio Bureau of Workers' Compensation (BWC) network. This form is essential for medical practitioners aiming to deliver care to injured workers under the state's compensation system. Both documents underscore the breadth of administrative tasks associated with workers' compensation, making it easier for relevant stakeholders, whether healthcare providers or injured workers, to navigate through the system seamlessly.
Similarly, the C-84 Request for Temporary Total Compensation form mirrors the OS 24 form in its purpose to streamline workers' compensation processes. The C-84 form is used specifically by workers who seek to receive temporary total disability benefits due to workplace injuries that prevent them from returning to work momentarily. It's an essential document for initiating the benefit claim process within Ohio's workers' compensation framework. By including such forms in the OS 24 list, stakeholders are provided with a roadmap to accessing critical resources for managing the aftermath of workplace injuries, emphasizing the system's commitment to worker recovery and support.
The C-240 Notice of Exception to Employer’s Signature Requirement and its amendment, the C-240A, highlight procedural nuances in workers' compensation claims, similar to the varied documentation outlined in the OS 24 form. These forms specifically address exceptions to the standard requirement of an employer's signature for certain claim processes, offering flexibility in how claims can be managed and expedited. The inclusion of such forms within the OS 24 catalog illustrates the complexities and adaptivities inherent in handling workers' compensation cases, ensuring all parties are aware of the avenues available for facilitating claim resolution.
Lastly, the RH-24 Gradual Return to Work Contract mirrors the facilitative nature of the OS 24 form by providing a structured plan to reintegrate injured workers back into the workforce. This document represents an agreement between the employer and employee on a modified or reduced work schedule following an injury, balancing the worker's health recovery with their return to productivity. Both the RH-24 and the OS 24 form play pivotal roles in the holistic approach to workers' compensation, acknowledging the importance of recovery, rehabilitation, and reemployment in the journey back to regular employment.
When filling out the Ohio OS-24 form, there are several dos and don'ts to keep in mind to ensure the process is completed accurately and efficiently. Here are key pointers to consider:
When dealing with the Ohio OS 24 form, it's essential to approach the document and the ensuing procedures with a clear understanding. However, several misconceptions can lead to confusion and inefficiency. Here are eight common misunderstandings about the Ohio OS 24 form and their clarifications to help guide individuals and businesses through the process:
OS 24 is the only form needed for worker's compensation cases: While the OS 24 form lists various forms related to worker's compensation, each serves a specific purpose, and depending on the situation, multiple forms may be necessary.
Forms can only be submitted physically: Despite the emphasis on providing a physical address for shipping regulations, many of these forms and applications can also be submitted electronically, increasing accessibility and efficiency.
All forms are available through the Office Services Forms & Publications: The list explicitly states that some forms not listed may need to be obtained through the Industrial Commission of Ohio (IC), indicating not all necessary forms are available through the BWC office services.
The quantity indicates the forms' relevance or necessity: The option to request a quantity of forms does not relate to their importance but rather serves to accommodate the needs of requesting parties for distribution or repeated use.
Email is not an official channel for submission or communication: Email addresses are requested in the form, acknowledging email as a valid and recognized means for submitting forms or communications.
There's no way to request a form that's not listed: The document advises contacting another number for forms not available through BWC Office Services, showing that unlisted forms are accessible through alternate channels.
All worker's compensation forms are directly related to injury claims: While many forms pertain to injury or occupational disease, others, like those for fraud or safety and health protection, address different aspects of workplace well-being and compliance.
Updating personal information is complicated: The inclusion of forms such as the C-77 for changing the address simplifies the process of updating personal information, making it less burdensome for the injured worker.
Clearing up these misconceptions fosters a better understanding of the Ohio OS 24 form and its associated procedures. This, in turn, can lead to more effective handling of workers' compensation cases and related matters.
When dealing with the Ohio OS 24 form, it is essential to focus on key aspects for a smooth and accurate process. Here are six takeaways:
This checklist ensures accurate and compliant completion and submission of the Ohio OS 24 form for individuals and employers seeking assistance from the Bureau of Workers' Compensation (BWC).
Form 1040 and Form 1040ez Are - Ohio adjusted gross income is calculated to determine state tax liability.
Ohio Historical Society - Guide local governments in identifying records that require a Certificate of Records Disposal before elimination.
Ohio Guardianship of Minor Child - Inclusion of the guardian’s criminal background aids the court in evaluating the suitability and integrity of the guardian in relation to the ward's safety.