Coaliti on Form
As work environments become safer, the number of workers compensation claims continues to
decline. At the same time, the cost per claim has continued to rise along with the cost of health
care in general, making costs to businesses substantial. Along with taxes, workers compensation
is something every business owner must handle.
Ohio is one of only four states that still have a state-controlled Workers Compensation Program.
Let’s make Ohio more competitive with our neighboring states, start a discussion, and open the
path to business-friendly reform.
Yes! I Supp or t W orkers Compensati on R eform In Ohi o!
CHECK ONE:
 Individual
 Business Owner
 Elected Official
 Organization
I WOULD LIKE TO HELP SUPPORT WORKERS COMPENSATION REFORM IN THE FOLLOWING WAYS:
(CHECK ALL THAT APPLY)
 Submit a letter to my local newspaper.
 Speak to other businesses and organizations.
 Submit a letter to my elected officials.
 Call or meet with my elected official.
Business/Organization _______________________________ Contact Name _____________________
Address __________________________________ City ______________________ Zip _________
Phone ( _______ ) _______-__________ E-Mail _________________________________________
Signature* ______________________________________________ Date ____________________
*By signing, you understand your name and title may be used in public coalition materials.