Ohio
Workers Comp
Injured Workers
Last updated: 4/8/2024
Presumption Of Causation For Firefighter Cancer {BWC-1397}
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Description
BWC-1397 -- PRESUMPTION OF CAUSATION FOR FIREFIGHTER CANCER. This form is used for filing a claim with the Bureau of Workers' Compensation. It requires the completion of the First Report of an Injury, Occupational Disease, or Death (FROI-1) along with specific details about the firefighter's medical diagnosis, exposure to carcinogens, and history of hazardous duty. The completed form must be faxed or mailed to the appropriate BWC office and a copy must also be submitted to the firefighter's fire department. www.FormsWorkflow.com
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