You have decided to initiate an FCE

Information needed to start the process:

 • Injured worker name

• Claim number

• Physician of record name, phone, and fax

• Currently working or not?

 o If yes, we will then need the employer contact information


Phone :877-323-7388 or 216-896-0997 Fax: 216-896-0998

 If you would to talk over whether or not an FCE is appropriate at this time, just give us a call! We are here to help you and Ohio's injured workers.