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Last updated: 11/7/2023
First Report Of An Injury Occupational Disease Or Death {FROI-1}
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Description
BWC-1101 - FIRST REPORT OF AN INJURY OF AN OCCUPATIONAL DISEASE OR DEATH. This form is used by the Bureau of Workers' Compensation (BWC) in Ohio to report details about a workplace injury, occupational disease, or death. It includes sections for injured worker information, employer details, accident description, medical information, and signatures from the injured worker, treating provider, employer, and the person completing the form if it's not the injured worker, treating physician, or employer. The completed form is submitted to the BWC for processing. www.FormsWorkflow.com