The Ohio Bureau of Workers' Compensation released the new C-265 form for firefighters, or their dependents, to apply for workers' compensation benefits when a diagnosis of cancer has been made due to employment activity. The C-265 form is to be used in combination with the First Report of Injury (FROI) form. Click on the following link for the C-265 form. https://www.bwc.ohio.gov/downloads/blankpdf/C-265.pdf
If you have any questions about this form, the process for filing a workers' compensation claim for cancer, or for questions about the cancer presumption law, please call us at 614-221-1300.