Claimant information
Include full legal name, date of birth, SSN/TIN, current address, and contact info so identity can be validated and benefits delivered.
A properly completed FROI creates a clear administrative record that protects employee benefits eligibility and documents employer compliance with Ohio workers' compensation rules.
Accurate submission and timely updates to the FROI protect employee rights and help employers meet Ohio BWC reporting obligations.
| Field | Configuration |
|---|---|
| Claimant identity | Require exact name and SSN fields; enforce numeric TIN format. |
| Incident detail | Use mandatory text area for injury description, min 50 characters. |
| Medical provider | Conditional field shown when treatment provided; collect dates. |
| Signature | Require signer name, role, and date; capture audit trail. |
Ensure your chosen platform can export immutable signed PDFs and retains records to meet Ohio and federal retention expectations.
Report accident and medical start information as soon as employer is aware.
Submit updates when wage-loss benefits begin or after three workdays of absence.
File wage, recovery, and return-to-work updates promptly when facts change.
Keep copies of filings and confirmations for at least three to six years.
Meet BWC or Ohio Industrial Commission deadlines for appeals or hearings.
BWC issues a confirmation and begins intake validation.
A BWC claim number is assigned if compensability is established.
Treatment records and restrictions are evaluated.
BWC or insurer determines entitlement and issues payments as applicable.
Include full legal name, date of birth, SSN/TIN, current address, and contact info so identity can be validated and benefits delivered.
Provide the exact Ohio BWC employer account number, legal business name, payroll contact, and industry classification for correct posting.
Detail the injury date, time, precise location, mechanism of injury, and witnesses to support the compensability decision.
Supply an initial diagnosis, affected body part, and ICD code when available to streamline medical bill adjudication.
Record the treating provider, first treatment date, and whether the employee returned to work or was off duty.
Include policy numbers, claim administrator contact, and any employer comments that clarify causation or prior conditions.
| Criteria | FROI (Ohio BWC) | Employer Injury Report |
|---|---|---|
| Filing deadline | as soon as known | varies by employer policy |
| Notarization | ||
| eSignature accepted | ||
| Required attachments | medical summary | employer incident notes |
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes (select plans) | Yes | Yes | Yes | Varies by plan |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA available) | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
A manufacturing HR team centralizes reporting and prepopulates employer fields for every incident to reduce entry errors and re-submissions.
An occupational health clinic provides diagnosis and first treatment dates directly to the employer for inclusion on the FROI.