Application for Ohio Workers’ Compensation Coverage (U-3)


Form: (U-3) - Introduction

Application For Ohio Workers' Compensation Coverage
(U-3)

Form: (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, individuals incorporated as a corporation (with no employees), ministers and officers of a family farm corporation. If you have individuals that qualify, you may elect coverage for those individuals when applying for workers’ compensation coverage. If you decide not to take out elective coverage at this time, you may do so later.

Click here for more information on adding elective coverage.

Click here for more information on manual classification.

Note: If you purchased an existing business, you need to complete the Notification of Acquisition/Merger or Purchase/Sale (U-118).

BWC offers new businesses a kit to help them become familiar with Ohio's workers' compensation system. Once you establish coverage, visit the New employer kit page to download the components of this valuable tool.

Click here for the New employer kit.

Required information

Legal business name
Address
Phone number
Federal employer 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
Elective coverage
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 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.