Columbus Workers' Compensation Attorney

614.344.6822

We Offer Free Consultations for Workers’ Compensation Cases
  • You Were injured at work?

    Call Today. We can help.

  • Your Medical Treatment Was Denied?

    Call Today. We Can Help.

  • You're Missing Work But Not Getting Paid?

    Call Today. We Can Help.

  • You need a legal team on your side?

    Call Today. We Can Help.

Columbus Workers' Comp Lawyer Workers' Compensation Police & Fire Disability Opers Disability Victims of a Crime Attorneys Contact Us
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Workers Compensation
Appeals
Claims Procedure
Denials
Medical Issues
Types of Compensation
Police & Fire Disability
Benefits Calculation
Continuing Eligibility
Types of Disability
Opers Disability
Appeals
Eligibility
Victims of a Crime

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If you are a new Bureau of Workers' Compensation ("BWC") client, please call our office after you print the following documents (please do not complete or sign any of the documents until you have spoken with our office):

Workers' Compensation Questionnaire

Medical Authorization

First Report of Injury ("FROI")

Injured Worker Authorized Representative ("R-2")

Request for Temporary Total Compensation ("C-84")

Physician's Report of Work Ability ("MEDCO-14")

Wage Statement ("C-94-A")

Application for Permanent Partial Disability ("C-92")

Authorization to Receive Check ("C-230")

11/03/1989 to 12/31/2016 Compensation Rate Chart

11/02/1959 to 11/02/1989 Compensation Rate Chart

If you are a new Ohio Police & Fire Disability Retirement ("OP&F") client, please call our office after you print the following documents (please do not complete or sign any of the documents until you have spoken with our office):

Designation of Agent

Disability Benefit Application

Authorization to Release Medical Records

Authorization to Release Records

Annuity Payment Plan Selection

Designation of Beneficiary for $1,000 Lump Sum Death Benefit

Direct Deposit Application

Federal W-4 Form

Withholding for Ohio State Income Tax

Internal Revenue Service - Private Letter Ruling

If you are a new Ohio Public Employees Retirement System ("OPERS") client, please call our office after you print the following documents (please do not complete or sign any of the documents until you have spoken with our office):

Disability Benefit Application ("DR-1")

Report of Physician ("DR-APS")

Report of Employer for Disability Benefit Applicant ("DR-4")

Authorization to Release Information ("LL-2")

If you are a new Ohio Victims of Crime ("VOC") client, please call our office after you print the following documents (please do not complete or sign any of the documents until you have spoken with our office):

Compensation Application

Supplemental Application

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Charles Zamora Co, L.P.A. - Columbus Workers Compensation Attorney
Located at 447 East Mound St. Columbus, OH 43215. View Map
Phone: (614) 344-6822 | Local Phone: (614) 221-1300.
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