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

Application For Elective Coverage
(U-3S)

Introduction
Use the U-3S to add coverage for certain specific employer types. Ohio employers with one or more employees are required to carry workers' compensation coverage for those employees. However, coverage is elective for certain business owners or officers, with the exception of officers of a corporation, since they are considered employees of the corporation.

Submit this form to add coverage for sole proprietors, partners, officers of limited liability companies acting as a sole proprieter or partnership, ministers and family farm corporate officers.

To apply for elective coverage, you must already have an existing policy with BWC. To take out initial coverage, please complete the Application for Workers’ Compensation Coverage (U-3). If you already have a policy number please proceed.

Note: Elective coverage is additional to the existing policy which you are required to provide for your employees. Please read the payroll reporting and premium obligation information before adding elective coverage.

Click here for more information on elective coverage.

If you already have elective coverage and wish to add or remove individuals from your policy click here for more information.

Required information
  • Name of individual for whom you wish to elect coverage
  • Residential address, city, state and ZIP code of the individual
  • Social Security number
  • Title
  • Duties of the individual

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

Start

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