- Permanent Authorization
- Temporary Authorization to Review Information (AC-3)
- Salary Continuation Agreement
- Request for Temporary Total Compensation
- Wage Statement
- First Report of Injury, Occupational Disease or Death
- Physician’s Report of Work Ability
- Application for the One Claim Program
- Application for Drug-Free Safety Program
- Application for the Deductible Program
- Application for Ohio Workers’ Compensation Coverage
Private Employer Participation Agreements
- 2019 CareWorks Comp Group Rating Participation Agreement
- 2019 CareWorks Comp Group Retrospective Rating Plan Participation Agreement
- 2020 CareWorks Comp Group Rating Participation Agreement
- 2020 CareWorks Comp Group Retrospective Rating Participation Agreement
- 2021 CareWorks Comp Group Rating Participation Agreement
- 2021 CareWorks Comp Group Retrospective Rating Participation Agreement
Public Employer Participation Agreements
NFIB Group Rating and Group Retrospective Rating Participation Agreements
- 2020 NFIB Group Amendment
- 2020 NFIB Group Participation Agreement (starting 3/1)
- 2020 NFIB Group Participation Agreement (starting 1/1)
- 2020 NFIB Group Retro Participation Agreement (starting 3/1)
- 2020 NFIB Group Retro Participation Agreement (starting 1/1)
- 2021 NFIB Group Retro Participation Agreement (starting 3/1)
- 2021 NFIB Group Retro Participation Agreement (starting 1/1)
- 2021 NFIB Group Participation Agreement (starting 3/1)
- 2021 NFIB Group Participation Agreement (starting 1/1)
- 2021 NFIB Group Amendment
NFIB Select Program Plus Participation Agreements
- 2020 NFIB Select Program Plus Amendment
- 2020 NFIB Select Program Plus Participation Agreement (starting 1/1)
- 2020 NFIB Select Program Plus Participation Agreement (starting 3/1)
- 2021 NFIB Select Program Plus Participation Agreement (starting 3/1)
- 2021 NFIB Select Program Plus Participation Agreement (starting 1/1)
- 2021 NFIB Select Program Plus Amendment
