BWC-3907 PDF Details

The 90 Day Exam is a medical examination of the injured worker that is generally done after 90 consecutive days of temporary total disability compensation has been paid.

Reasons: the employer authorizes waiver for the following reason(s), such as injured worker remains hospitalized or is scheduled for or is recovering from surgery.

Waiver: the waiver of this exam is permanent or temporary: check one.

Follow-up: the form has a requested follow-up examination date.

Representative: a non-attorney representative for the employer who is signing at the direction of the employer checks the box.

QuestionAnswer
Form NameBWC-3907
Form Length1 page
Fillable?Yes
Fillable fields15
Avg. time to fill out3 min
EditionRev Feb. 19, 2026
Matches the agency's fileYes, checked October 3, 2026
Other namesBWC-3907, BWC 3907, MEDCO-6, 90 Day Exam waiver
Official sourceBWC-3907 (Rev. Feb. 19, 2026) MEDCO-6, Ohio Bureau of Workers' Compensation