2900 Carnegie Avenue, Cleveland, OH 44115 | 1-888-644-6266 OR 216-426-0646

FORM CENTRAL

Workers Compensation Forms

1-888-OHIOCOMP wants to put the forms you need at your fingertips. Just click on any of the forms below to view and print the PDF. If you have questions call us at 1-888-644-6266 or 216-426-0646.

FROI

First Report of Injury.

C-55

Salary Continuation Agreement.

C-101

Authorization to Release Medical Information.

C-110

Employer/Employee Agreement to Select Ohio as the State of Exclusive Remedy for Workers’ Compensation Claims.

MEDCO-14

Physician’s Report of Work Ability.

1-888-OHIOCOMP INJURED WORKER IDENTIFICATION CARD

Needed when seeking medical treatment.

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