Workers Compensation Claim Log {BWC-1393} | Pdf Fpdf Doc Docx | Ohio

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Workers Compensation Claim Log {BWC-1393} | Pdf Fpdf Doc Docx | Ohio

Last updated: 4/8/2024

Workers Compensation Claim Log {BWC-1393}

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BWC-1393 -- WORKERS’ COMPENSATION CLAIM LOG. This form is used for keeping a detailed record of workers' compensation claims. It includes sections for recording injury/accident information, workers' compensation claim information, medical care information, and return-to-work details. The form allows for documenting various events related to the injury, such as when and where it occurred, how it happened, the nature of the injury, notification details, and preventive measures. It also provides space to record information about the completion of claim forms, receipt of acknowledgment letters from the Bureau of Workers' Compensation (BWC), claim numbers, contact details of claims service specialists and managed care organization representatives, medical care received, and return-to-work status. Additionally, there are sections for recording events, dates, and details related to the claim on multiple occasions, allowing for a comprehensive log of the entire process.

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