BWC must receive new contract and termination notifications within 30 days of the effective date of the contract or termination.
Notice: if BWC is not notified within the required time frame, BWC will recognize the date the UA-3 is received as the effective date.
Signatures: signatures are required by both parties. If you fax or mail the form to BWC, be sure to sign and date the form.
Lease: check only one: New lease, Lease termination, or Change existing policy number reporting client payroll/claims.
Wages: partial wages reported to BWC under the client policy must be reported under the FEIN of the client employer.
Classification: splitting of employees within a manual classification is not permitted.
| Question | Answer |
|---|---|
| Form Name | Form UA-3 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 45 |
| Avg. time to fill out | 8 min |
| Edition | Rev. Feb. 19, 2026 |
| Where to send | Email: 120c239@bwc.ohio.gov; fax: 614-719-5925; mail: BWC Mail Processing Center, Attn: Employer Services, 30 W. Spring St. Columbus, OH 43215-2256 |
| Filing deadline | Within 30 days of the effective date of the contract or termination |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | UA-3, UA3, Form UA-3, BWC-8003, Ohio UA-3, PEO Client Relationship Notification, Professional Employer Organization Client Relationship Notification |
| Official source | BWC-8003 (Rev. Feb. 19, 2026) UA-3, Ohio Bureau of Workers' Compensation |
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