bwc.ohio.gov
Ohio.gov State Agencies | Online Services  
Search
Twitter Youtube Facebook

Online support available
Monday through Friday
7:30 a.m. - 5:30 p.m.
Click here to get help!
secondary navigation bar logon help print search glossary contact e-account
OhioBWC - Employer - Form:  (Deductible)

Application for Deductible Program (U-148)


Introduction
The Deductible Program allows employers to control their costs while promoting workplace safety. In this program, employers who want to lower their premium, agree to take on more risk in the form of a deductible.

The Deductible Program can help employers lower their premiums by offering an upfront premium discount when an employer takes on the risk of a per claim deductible. The program encourages employers to focus on safety efforts to reduce injuries. When claim costs are kept low, this program is financially beneficial for those who participate. However, if claim costs are not appropriately controlled, the deductible can exceed premium savings.



Additional information
Program overview
Discount percentages
Look up level of eligibility
Administrative rules



Required information
  • BWC policy number
  • Contact name
  • Contact phone
  • Federal employer identification or Social Security number
  • Legal business name
  • Trade name or doing business as
  • Primary physical location (do not use P.O. Box)
  • Deductible level per claim
  • Must be signed and dated by an owner/partner; officer

Complete the forms

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

Do you have all the required information at hand? If so, you are ready to begin completing the 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 some of the 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.


Resources