OhioBWC - Employer - Form: (U-3)

OhioBWC - Employer - Form: (U-3) - Introduction

Application For Ohio Workers' Compensation Coverage

(U-3)

Introduction

Use the U-3 to establish workers� compensation coverage with the State of Ohio. Employers with one or more employees are required to carry workers� compensation coverage for their employees. Independent contractors and subcontractors also must obtain coverage for their employees. Officers of a corporation are considered employees of the corporation.

Coverage is elective for sole proprietors, partners, ministers and officers of a family farm corporation. If your organization is a sole proprietorship, partnership, limited liability company acting as a sole proprietorship or partnership, church or family farm corporation, you may take out coverage for the sole proprietor, partners or family farm corporate officer with the original submission of this form. If you decide not to take out this supplemental coverage at this time, you may do so later.

Click here for more information on adding optional supplemental coverage.

Click here for more information on manual classification.

Note: If you purchased an existing business, DO NOT fill out this form.
Call 1-800-OHIOBWC and press 24 for policy transfer options.

Required information

Legal Business Name
Address
Phone Number
Federal Identification Number or Social Security Number
Are there any other Ohio workers' compensation policies associated with this operation
Type of Business

Type of Business Operations
Supplemental Coverage Election
Did you purchase this business
Description of primary services or products including methods of operations
Eight-Month Payroll Estimate

Complete the forms
The free Adobe Acrobat Reader software is required to display and print the application. Do you have all the required information at hand? If so, you can complete the online form. When completing the online form, please use the previous and next buttons located at the bottom of the page to navigate through the form. Begin online form now. Are you missing any required information? If so, you may return here at a later time when you have all the information you need, and complete this online form. You also may print a blank copy of the form, complete it by hand and either mail or fax it to BWC. Print a blank form. To file this application electronically, you must pay a minimum deposit of $10. If you do not wish to make this payment at this time, please print a blank form, complete it and mail it with your check, money order or credit card information.

Complete the forms

The free Adobe Acrobat Reader software is required to display and print the application.

Do you have all the required information at hand? If so, you can complete the online form. When completing the online form, please use the previous and next buttons located at the bottom of the page to navigate through the form.
Begin online form now.

Are you missing any required information? If so, you may return here at a later time when you have all the information you need, and complete this online form. You also may print a blank copy of the form, complete it by hand and either mail or fax it to BWC.
Print a blank form.

To file this application electronically, you must pay a minimum deposit of $10. If you do not wish to make this payment at this time, please print a blank form, complete it and mail it with your check, money order or credit card information.