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OhioBWC - Employer - Form: (TWB-2) - Introduction

Transitional Work Offer and Acceptance Form (TWB-2)

Introduction
Employers participating in the Transitional Work Bonus program must complete this form or submit equivalent documentation for every offer of transitional work they make for claims with a date of injury during the bonus period. The employer faxes the TWB-2 or equivalent documentation to the managed care organization (MCO). So, while you may complete the TWB-2 online, you must print it off after completion to submit either by mail or fax.



Additional information
Bonus program overview
IMPORTANT: After you complete the form online, print a copy for the injured worker to review and sign, and then fax it to your MCO. If your employee successfully returned to work, but you're unable to obtain the injured worker's signature for the following reasons (This is not an all inclusive list.): communication barrier; your employee refuses to sign the agreement; the employee is a seasonal worker, a student or intern, quit or is terminated; then the employer must submit documentation such as the worker's timesheet to show proof of successful use of your plan.
MCO fax numbers
Remember to include your policy number on your fax cover sheet.

Transitional Work Bonus Program Guide - We want to make sure all participating employers with eligible claims use their transitional work plan successfully and receive their full bonus amount at the end of the bonus period. This guide will assist you in completing the required documentation of your offer of transitional work duties and your injured employees' acceptance and participation in your company's plan. You may want to refer to this guide each time you enter the transitional work bonus information into the online form.

REMINDER: Periodically throughout the bonus period you should log in to your account to review your claims in the program period to make sure the actual return to work date and type of return to work (modified or full duty) are entered correctly and an offer and acceptance is received for each of your eligible claims. Contact your MCO to correct errors.


Required information
  • Policy number
  • Individual claim number or program year
  • Physician of record or treating physician
  • Date released to return to work
  • Return-to-work date
  • Employee acceptance or refusal

Complete the form

If you have all the required information on hand, simply click the start button to begin.

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