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Documents used along the form

The Ohio OS-24 form is a key document utilized in various workers' compensation processes. Alongside it, several other forms and documents are frequently required to ensure proper handling of claims and benefits. Below is a list of some of these forms, each described briefly for clarity.

  • AC-3 Temporary Authorization: This form allows an injured worker to authorize temporary medical treatment or services while their claim is being processed.
  • C-5 Additional Information for Death Benefits: This document is used to gather more details necessary for processing death benefits claims.
  • C-9 Physician’s Report/Treatment Plan: A physician completes this form to provide a report and treatment plan for an industrial injury or occupational disease.
  • C-11 Request to Appeal MCO Medical Treatment/Service Decision: This form is used when a worker wishes to appeal a decision made by a Managed Care Organization regarding medical treatment.
  • C-18 Wage Agreement: This document outlines the terms of wage compensation for an injured worker during their recovery period.
  • C-84 Request for Temporary Total Compensation: Workers use this form to request temporary total disability benefits while they are unable to work.
  • FROI-1 First Report of Injury: This is the initial report submitted when an injury occurs, detailing the circumstances and nature of the injury.
  • MEDCO-14 Report of Work Ability: A healthcare provider fills out this form to report the injured worker's ability to return to work, including any restrictions.
  • U-3 Application for Ohio Workers’ Compensation Coverage: Employers submit this form to apply for coverage under Ohio's workers' compensation system.

These forms play a crucial role in the workers' compensation process in Ohio, helping to facilitate communication and ensure that all necessary information is collected and processed efficiently. Understanding these documents can aid in navigating the claims process more effectively.

Dos and Don'ts

When filling out the Ohio OS-24 form, it's essential to approach the process with care. Here’s a list of things you should and shouldn’t do:

  • Do provide your physical address accurately, as deliveries cannot be made to post office boxes.
  • Do ensure that all required fields, such as Customer ID number and contact name, are filled out completely.
  • Do double-check your email address for typos, as this is crucial for communication.
  • Do keep a copy of the completed form for your records after submission.
  • Do reach out to the provided contact number if you have any questions about the form.
  • Don't leave any required fields blank; incomplete forms may delay processing.
  • Don't use a post office box as your address; it will not be accepted.
  • Don't forget to sign the form where indicated, as your signature is necessary for validation.
  • Don't submit the form without reviewing it for accuracy and completeness.
  • Don't hesitate to ask for help if you’re unsure about any part of the form.

Key takeaways

When filling out and using the Ohio OS-24 form, there are several important points to consider. Understanding these key takeaways can help ensure the process runs smoothly.

  • Provide Accurate Information: Ensure that all fields are filled out with correct and current information, including your physical address, as deliveries cannot be made to post office boxes.
  • Contact Information: Include your customer ID number, contact name, telephone number, company name, and email address to facilitate communication.
  • Form Availability: Familiarize yourself with the various forms available through the OS-24, such as the AC-3 for temporary authorization and the C-84 for requesting temporary total compensation.
  • Submission Guidelines: Follow the submission guidelines carefully. Forms should be sent to the appropriate address, and faxing options are available if needed.
  • Additional Resources: If you require forms not listed on the OS-24, contact the Industrial Commission of Ohio for assistance in obtaining those documents.

Similar forms

The Ohio OS-24 form is a crucial document in the workers' compensation process, but it shares similarities with several other forms that serve different yet related purposes. Here’s a breakdown of five documents that are comparable to the Ohio OS-24 form:

  • AC-3 Temporary Authorization: This form allows for temporary authorization of medical treatment for injured workers, similar to how the OS-24 facilitates the processing of claims and benefits.
  • C-5 Additional Information for Death Benefits: Like the OS-24, this form is used to gather necessary information for processing claims, specifically related to death benefits, ensuring that all relevant details are considered.
  • C-11 Request to Appeal MCO Medical Treatment/Service Decision: This form is used to appeal decisions made by Managed Care Organizations (MCOs), paralleling the OS-24 in its function to manage and address claims efficiently.
  • C-84 Request for Temporary Total Compensation: This document requests compensation for workers who are temporarily unable to work due to injury, much like how the OS-24 is involved in the claims process for injured workers.
  • FROI-1 First Report of Injury, Occupational Disease or Death: The FROI-1 form initiates the claims process by reporting an injury or illness, similar to how the OS-24 plays a role in the ongoing management of a claim.