In the State of Ohio, the management and administration of workers' compensation claims involve a significant amount of documentation, one key aspect of which is reflected in the Ohio OS-24 form. This extensive document, prepared and updated by the Bureau of Workers' Compensation (BWC), serves as a comprehensive inventory of forms and publications available for various stakeholders, including employers, injured workers, and healthcare providers. The OS-24 form includes critical forms such as the AC-3 Temporary Authorization, C-9 Physician’s Report/Treatment Plan for Industrial Injury or Occupational Disease, and C-92 Application for Determination of the Percentage of Permanent Partial Disability, among others. It also lists publications designed to guide and inform about workers' compensation processes, fraud prevention, and safety and health protection on the job. Each form and publication listed serves a unique purpose in the facilitation, appeal, or administration of claims, emphasizing the importance of accessible, accurate documentation in the effective management of workers' compensation. Given its breadth, the Ohio OS-24 form stands as a testament to the comprehensive approach taken by the state in addressing the needs of its workforce and ensuring a streamlined workers' compensation system.
| Question | Answer |
|---|---|
| Form Name | Ohio Form Os 24 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | OS 24 c158 form for ohio workers compensation |
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FORMS AVAILABLE
Quantity Form no. |
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Temporary Authorization |
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Additional Information for Death Benefits |
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Physician’s Report/Treatment Plan for Industrial |
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Injury or Occupational Disease |
Request for Additional Medical Documentation for |
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Request to Appeal MCO Medical Treatment/ |
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Service Decision |
Pharmacy Invoice |
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Wage Agreement |
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Service Invoice |
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Change of Doctor Request |
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Application for Lump Sum Advancement |
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Physician’s Certificate in Proof of Death |
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Application for Adjustment of Claim in Case of Fatal |
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Injury |
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Account of Death |
Injured Worker Statement for Reimbursement of Travel |
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Expense |
Injured Workers’ Change of Address |
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Request for Temporary Total Compensation |
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Motion |
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Application for Determination of the Percentage of |
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Permanent Partial Disability or Increase of Permanent |
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Partial Disability |
Wage Statement |
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Authorization to Release Medical Information |
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Request for Waiver of Appeal |
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Agreement to Select The State of Ohio as the |
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State of Exclusive Remedy |
Agreement to Select a State Other than Ohio as |
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the State of Exclusive Remedy |
Application for Wage Loss Compensation |
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Wage Loss Statement for Job Search |
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DEP Physician’s Report of Work Ability |
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Waiver of Workers’ Compensation Benefits for |
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Recreational or Fitness Activities |
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Justification of Medical Necessity for Seating/ |
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Wheeled Mobility |
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Authorization to Receive Workers’ Compensation |
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Check |
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Notice of Exception to Employer’s |
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Signature Requirement |
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Notice of Exception to Employer’s |
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Signature Requirement |
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Amended Settlement Agreement and Release |
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Application for Handicapped Reimbursement |
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First Report of Injury, Occupational Disease or Death |
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Application for Provider Enrollment and Certification |
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Application for Provider |
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Report of Work Ability |
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Authorization of Representative of Employer |
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Authorization of Representative of Injured Worker |
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Rehabilitation Agreement |
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Individualized Vocational Rehabilitation Plan |
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Trainer’s Report |
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Loan/Lease Agreement for Tools and Equipment |
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Injured Worker’s Record of Job Search Contacts |
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Authorization for Living Maintenance Wage Loss (LMWL |
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Employer Incentive Contract |
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Vocational Rehabilitation Closure Report |
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Gradual Return to Work Contract Employer |
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Reimbursement Method |
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Filing of an Allegation Against a |
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Acknowledgment of the |
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Settlement Agreement and Release |
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Application for Ohio Workers’ Compensation Coverage |
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Application for Optional Supplemental Coverage |
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Application for Optional Supplemental Coverage |
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Notification of Business |
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Acquisition/Merger or Purchase/Sale |
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PUBLICATIONS AVAILABLE
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CD 106 |
BWC Medical Guide |
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FB |
Fraud Brochure |
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FBLW |
Fraud Brochure Law |
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FBMCO |
Fraud Brochure MCO |
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FBSI |
Fraud Brochure Self Insured |
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FFFI |
Fraud Flyer Financial |
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FFPH |
Fraud Flyer Pharmacy |
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FP 01 |
Fraud Poster |
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FS 01 |
Fraud Sticker |
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FS 01 |
Fraud Sticker |
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Forms & Publications List |
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PERRP |
Safety and Health Protection on the Job Poster |
Prepared by
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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