Forms and Documents

Prior to downloading your form, please note the following:

  • Forms listed here are in Portable Document Format  (PDF) . You will need Acrobat Reader plug-in to open PDF files. Please visit Adobe website to download the plug-in.
  • After you click on any form, you will be able to see the purpose and requirements of the document. Please take time to read these requirements to check if they are applicable to you. Some of the documents presented here may not apply to you depending on your situation.
  • Some forms may be available for electronic filing.
  • The forms below are not in alphabetical order, please look carefully for the form you require.
  • When a form is due to expire, the form and any changes must be reviewed by the management. If a form expires while it is being reviewed, the form may still be used. Once a new edition is available, the website will be updated to ensure only useable editions are listed.
Last updated: 09/12/2011 2:00:00 PM
Copyright Aultman Health Foundation
AultCare Information Systems
 
 
BWC
Form Name Description Edition Info Download
form image BWC Report Card Results BWC has created the MCO Report Card to help you evaluate the performance of managed care organizations (MCOs). 9/14/2009 download
form image Online Injury Form Link to OhioBWC - Common - Form: (FROI) - Preliminary information 9/14/2009 download
form image Printable Injury Form Link to First Report of an Injury, Occupational Disease or Death. In pdf format. 9/14/2009 download
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Newsletters
Form Name Description Edition Info Download
form image 1st Quarter 2009 In this issue: BWC's New Deductible Program, Interstate Jurisdiction, Comprehensive Study to Guide BWC, Distracted Driving, Fighting Eyestrain 1/01/2009 download
form image 2nd Quarter 2009 In this issue: Who to Contact? MCO, TPA or BWC?, Safety Consulting Services, Preparing for Workplace Emergencies 4/01/2009 download
form image 2nd Quarter 2010 In this issue: Claim appeal Information, Workplace Wellness Program: Focus on Injury Prevention 4/01/2010 download
form image 3rd Quarter 2008 In this issue: BWC Reform Efforts, Potential New Programs, Joint Legislative Regulatory Reform Task Force, Board of Directors Accomplishments 7/01/2008 download
form image 3rd Quarter 2010 In this issue: Handicap Reimbursement, Workplace Wellness: If I Have an Active Job, Why Should I be Active Outside of Work? 10/01/2010 download
form image 4th Quarter 2008 In this issue: Payment Relief for many Employers, BWC Safety Congress & Expo, Lifting Basics 10/01/2008 download
form image 4th Quarter 2009 In this issue: BWC Reform Successes in 2009, Utility Knife Safety 10/01/2009 download
form image 4th Quarter 2010 In this issue: Cold Medication & Drowsiness, Workplace Wellness- Increase Your Performance & Decrease Fatigue at Work, General Safety - Attitude & Behavior. 1/01/2011 download
form image July 2008 In this issue: BWC Premium rates reform, Senate bill 334, Premium Discounts with Safety Education, BWC Board of Directors Accomplishments 7/01/2008 download
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Safety Tips
Form Name Description Edition Info Download
form image April 2009 Are your workers getting enough sleep? 4/01/2009 download
form image December 2010 Workplace Holiday Safety. 12/01/2010 download
form image February 2009 Protecting employees in cold environments 2/01/2009 download
form image January 2009 Go back to the lifting basics 1/01/2009 download
form image January 2010 Slip-proof Your Workplace 1/01/2010 download
form image January 2011 How to Clean Your Workspace for the New Year. 01/01/2011 download
form image July 2009 Summer: Warm weather, outdoor activities, and ticks 7/01/2009 download
form image June 2009 Preparing for Workplace Emergencies 6/01/2009 download
form image March 2009 Natural disasters: Does your company have an emergency plan? 3/01/2009 download
form image May 2009 Safe and Green Spring Cleaning Tips 5/01/2009 download
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Provider Credentialing
Form Name Description Edition Info Download
form image Provider Information Form 1011 Please complete for any type of provider information update. 10/01/2011 download
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