BWC C-86 Form PDF Details

The C-86 Motion for BWC is the Ohio Bureau of Workers' Compensation's standard form for requesting specific actions that fall outside routine claims processing. Claimants, employers, and their legal representatives file it when standard BWC forms do not address the issue at hand. The BWC or the Industrial Commission of Ohio (IC) reviews each motion and schedules a hearing within 4 to 8 weeks of receipt.

Types of requests covered by the C-86 motion: The form covers a wide range of situations. Common uses include requesting the allowance of additional medical conditions related to an existing claim, seeking recognition of a psychiatric or psychological condition tied to a physical injury, disputing wage calculations and requesting recalculations, contesting decisions involving self-insured employer claims, and filing any request that does not fall under a different designated BWC form.

Who can file a C-86 motion: Any party to a workers' compensation claim can submit this form. This includes the injured worker, the employer, a third-party administrator acting on behalf of the employer, or an attorney representing either side. Healthcare providers and managed care organizations are not permitted to use the C-86. They must use the forms designated for their specific function in the claims process.

What documentation is required: Every C-86 submission must include supporting evidence. Accepted attachments include medical reports from treating physicians, independent medical examination (IME) results, wage statements and payroll records, earning history documentation, and any correspondence from managed care organizations relevant to the request. The filer must certify in writing that a copy of the completed motion and all attachments was provided to every party involved in the claim before submission.

Processing timeline: The BWC typically acknowledges receipt of a C-86 within 5 to 10 business days. After acknowledgment, a hearing officer is assigned and a hearing date is scheduled. Most hearings are set within 4 to 8 weeks from the filing date. Industrial Commission hearings for complex matters may take 6 to 12 weeks. Failing to appear at the scheduled hearing or failing to submit adequate documentation may result in the motion being denied without reconsideration.

QuestionAnswer
Form NameBWC C-86 Form
Form Length2 pages
Fillable?Yes
Fillable fields28
Avg. time to fill out6 min 10 sec
Other namesohio bwc form c86, ohio c 86, ohio bwc c86, c 86 form