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titleState of Ohio - Workers Compensation Claims

If you have a Workers Compensation injury in OHIO, please follow the steps below:

UI Steps


UI Step

Immediately notify your Reliant Supervisor


UI Step

Complete the first section of the BWC First Report of Injury (FROI) form as completely as possible.

See P. 4 of the attached document for the form.

View file
nameIW Packet - Basic Template - SedgwickMCO.pdf
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UI Step

Seek appropriate medical treatment if needed, and provide the attached ID card at all medical appointments.

IMPORTANT NOTE: Treating physicians must be Ohio BWC certified!


UI Step

Keep your Reliant Supervisor informed of your medical status and promptly return all completed claim documentation to your employer. 

Email completed forms to benefits@reliant.org.


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titleOther Important Information:


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titleMedical treatment questions, medical documentation and billing issues:

Medical treatment questions, medical documentation, and billing issues:

Contact: Sedgwick Managed Care Ohio

Phone: 888.627.7586

Fax: 888.627.0074

Mail: P.O. Box 1040, Dublin, OH 43017


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titlePrescription Questions:

Prescription Questions:

Call 800.644.6292 and follow the prompts


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titleOhio Bureau of Worker's Compensation:

Ohio Bureau of Worker's Compensation:

Call 800.644.6292 or visit bwc.ohio.gov


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titleMedical Options and Providers:

Medical Options and Providers:

If medical treatment is required, see a BWC-certified medical provider. For more information, see the Sedgwick MCO website at sedgwickmco.com (click "Find a Provider")





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titleState of North Dakota - Workers Compensation Claims


UI Steps

Get Medical Help

If further treatment beyond basic first aid is necessary, go to the emergency room or healthcare provider of your choice and tell them you were injured at work.

What to expect from your medical provider

Your doctor will:

  • Certify whether your injury is work-related
  • Help you file a workers’ compensation claim
  • Work with you to decide when you can return to work
  • Recommend any further treatment you may need

Report the Injury to your Reliant Supervisor and Reliant

Send an email to benefits@reliant.org or call your program team liaison, who can help get you in contact with the Employment Services Department.

What to expect from your employer

Your employer needs to:

  • Make sure you receive prompt medical attention.
  • Complete the first report of injury report for ND WSI (North Dakota Workforce Safety & Insurance). 

Employer Certificate of Coverage

ND work comp certificate of payment_coverage eff 9.10.2021 to 8.31.2022.pdf



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titleState of Washington - Workers Compensation Claims


UI Steps


UI Step

Get Medical Help

If further treatment beyond basic first aid is necessary, go to the emergency room or healthcare provider of your choice and tell them you were injured at work.

What to expect from your medical provider

Your doctor will:

  • Certify whether your injury is work-related
  • Help you file a workers’ compensation claim
  • Work with you to decide when you can return to work
  • Recommend any further treatment you may need

If you need medical care after the first visit

For your second visit and beyond, you will need to see a provider in the WA L&I network. If your regular health care provider is not in their network, encourage them to join or choose a new one with our Find a Doctor tool.

You may choose any qualified doctor to treat your injury, as long as they are in WA L&I's network. You also may get a second medical opinion if your claim manager approves it. You can change providers at any time and/or communicate with your claim manager via WA L&I's online portal, My L&I.

Filing a Claim may happen later, but if your Dr's office files it for you, that's also possible.


UI Step

Gather your Claim Information 

Gather the following information before you report your claim:

  • The location where the injury occurred
  • Contact information for any witnesses to the injury
  • Employer information
  • Wage information
  • Names and birth dates of your dependents
  • If you have already seen a doctor:
    • Your doctor's first and last name
    • Hospital or clinic where you received treatment

You may choose to file a claim immediately or wait until after you have notified Reliant. Steps for filing are listed below.


UI Step

Report the Injury to your Reliant Supervisor and Reliant

Send an email to benefits@reliant.org or call your program team liaison, who can help get you in contact with the Employment Services Department.

What to expect from your employer

Your employer needs to:

  • Make sure you receive prompt medical attention.
  • Complete the employer section of the accident report form. 
  • Look for return-to-work opportunities with light-duty work if medically approved. This can help maintain your salary and speed your recovery while keeping claim costs down for them.
  • Your employer has the right to access your claim file, including mental health information. An employer can only reveal your mental health condition(s) or treatment to authorized people to access the information.  


UI Step

File your Claim

Washington L&I strives to make filing a claim as easy as possible, and you have options:

  • Online via our FileFast tool
  • By phone: 1-877-561-FILE (3453)
  • At your doctor’s office (if you complete the Report of Accident at your doctor's office, the doctor files the form for you)


UI Step

Track/Update the status of your claim

Calling your claim manager

Every claim managed by L&I is assigned a claim manager, and there are times when you might need to speak with your claim manager directly. Your claim manager's phone number is located on all correspondence. You may also contact your local L&I office and ask for a phone referral. Your claim manager should call you within 48 hours.

If you have difficulty reaching an L&I claim manager, please contact WA L&I through L&I’s Claim & Account Center.

Our online Claim & Account Center gives you fast access to your claim file, secure messaging with your claim manager, and more.

Get quick claim information by phone

Fast, automated updates on the status of your claim in English or Spanish (en Español): 800-831-5227

A customer service representative. Spanish (en Español) speaking staff or translation service available: 800-547-8367

Hearing/speech impaired TDD service: 360-902-5797

Web support for the online Claim & Account Center: 360-902-5999 or email WebSupport@Lni.wa.gov

Doctor changes 

Let WA L&I know online using their Claim & Account Center or use the Transfer of Care form (F245‑037‑000).




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titleALL Others States - Workers Compensation Claims

Reliant's worker's compensation carrier for any State other than WA and OH is Church Mutual.  If you work in OH or WA, please see the specific sections above about your worker's compensation care and claim process.

Reliant will work with Church Mutual to report your claim and follow applicable state guidelines for Worker's compensation in your state.

The best course of action for a worker's compensation injury is as follows:

  • Treat the injury with first aid.
  • If the injury requires more immediate care than first aid, seek immediate medical care from the nearest provider.
  • Report the injury to your Reliant supervisor.
  • Report the injury to Reliant - you may email us at benefits@reliant.org or reach out through your Program team liaison, who will connect you with an available member of the Employment Services team.

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Workers Compensation Questions?

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Workers' Compensation Posters by State

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