Edit, Download, and Sign the Ohio Workers' Compensation Coverage Application

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How do I fill this out?

To fill out the application, gather all required information beforehand. Ensure that you complete all fields marked with an asterisk. Follow the designated submission instructions for processing your application.

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How to fill out the Ohio Workers' Compensation Coverage Application?

  1. 1

    Gather necessary information such as business name and address.

  2. 2

    Complete all required fields marked with an asterisk (*).

  3. 3

    Provide the appropriate payment of $120 for application processing.

  4. 4

    Choose your preferred method of submission: online, mail, or in-person.

  5. 5

    Confirm that all information is accurate before final submission.

Who needs the Ohio Workers' Compensation Coverage Application?

  1. 1

    Any employer with employees in Ohio needs this application to comply with state laws.

  2. 2

    Public employers such as school districts and counties require this to ensure employee coverage.

  3. 3

    Nonprofit organizations that employ individuals must apply to cover their staff.

  4. 4

    Domestic employers paying over $160 in a quarter need this to secure coverage.

  5. 5

    Sole proprietors or partnerships considering employee hire must apply for additional coverage.

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What are the instructions for submitting this form?

To submit this form, you may choose one of three methods: online at bwc.ohio.gov, by mailing to Ohio Bureau of Workers' Compensation, P.O. Box 15698, Columbus, OH 43215-0698, or in-person at a designated BWC service office. Include a non-refundable application fee of $120 with your submission. Ensure you complete all required fields to avoid unnecessary processing delays.

What are the important dates for this form in 2024 and 2025?

For the year 2024, be aware that state-fund private employers' policies renew every July 1. Public employers' policies renew every January 1. Ensure your application is submitted timely to avoid gaps in coverage.

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What is the purpose of this form?

The purpose of this form is to apply for workers' compensation coverage under Ohio law. It enables businesses to protect their employees by ensuring they are covered for work-related injuries or illnesses. Compliance with this application is essential for legal hiring and employment practices within Ohio.

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Tell me about this form and its components and fields line-by-line.

The application form includes various components to gather necessary information from applicants.
fields
  • 1. Legal Business Name/Homeowner: The official name of the business or homeowner applying for coverage.
  • 2. Identification Number: Federal ID or Social Security number of the business.
  • 3. Employee Information: Questions regarding current or future employees hired in Ohio.
  • 4. Business Address: Physical location where the business operates.
  • 5. Contact Information: Business email, phone number, and any additional contacts.
  • 6. Business Entity Type: Selection of the type of entity applying (e.g., corporation, sole proprietor).

What happens if I fail to submit this form?

Failure to submit this form can result in legal issues and gaps in workers' compensation coverage. Employers may face penalties for not adhering to state laws regarding worker coverage. It is crucial to submit timely and complete applications to prevent such consequences.

  • Legal Non-Compliance: Without proper submission, businesses may operate outside of Ohio's legal requirements.
  • Employee Safety Risks: Not having coverage exposes employees to financial risks in case of workplace injuries.
  • Financial Penalties: Fines may be imposed for failure to obtain necessary workers' compensation coverage.

How do I know when to use this form?

This form should be used whenever a business in Ohio hires employees or plans to do so in the near future. It is also necessary for entities aiming to secure coverage for existing employees. If you fall under specific employer categories such as domestic workers or partnerships, this application is essential.
fields
  • 1. New Business Setup: When starting a business and hiring employees in Ohio.
  • 2. Existing Employee Coverage: To secure workers' compensation for current employees.
  • 3. Changes in Business Structure: When there are changes like new partnerships or business types.

Frequently Asked Questions

How do I download the application once filled?

After completing the application, you can download it directly from the PrintFriendly interface.

Can I edit the PDF after downloading?

Once downloaded, you can edit the PDF using your preferred PDF editing software.

What types of payments do you accept?

Payments can be made using Visa, MasterCard, American Express, or a checking account.

Do I need to submit this form every year?

State-fund private employer policies renew every July, so submission is required for renewal.

What if I don’t complete the required fields?

Incomplete applications will result in delays or rejection until all fields are properly filled.

Who qualifies as an independent contractor?

Independent contractors are those who operate their own businesses without being considered employees.

Can I apply if my business is out of state?

Yes, if your business operates in Ohio or hires employees who work in Ohio.

Is the application fee refundable?

No, the $120 application fee is non-refundable regardless of processing outcomes.

What happens if my business moves out of Ohio?

You must notify the Bureau of Workers' Compensation of any changes in business location.

Can I apply online?

Yes, you can complete the application online at bwc.ohio.gov.

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