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GROW OHIO

Enroll in Grow Ohio

Complete the form below to unlock premium discounts of up to 53%. 

 ENROLL IN GROW OHIO

Grow Ohio + Group Rating Enrollment 

Your annual participation fee of $100 includes enrollment into the V+A Risk Services group rating program, assistance with managing your workers' compensation claims and representation at workers' compensation hearings (if necessary).

To enroll in the Grow Ohio 2023 & 2024 Group Rating Plans through V+A Risk Services, please complete the fields and profile questions below.

Questions? Click here to connect with our team.

your full name*
COMPANY NAME* 
your title or position*
policy or application number*
your Email*
Phone*
IS YOUR COMPANY A PROFESSIONAL EMPLOYER ORGANIZATION (PEO) OR HAS IT BEEN AFFILIATED WITH A PEO IN THE PAST 2 YEARS?*
YES
NO
in the past 5 years, did your company restructure, purchase, merge or aquire the assets of another ohio company?*
yes
no
IF YES, PLEASE LIST THE OHIO BWC NUMBER AND ENTITY NAME:
IN THE PAST FIVE YEARS, HAS YOUR COMPANY DONE BUSINESS IN OHIO UNDER ANOTHER BWC POLICY OTHER THAN THE ONE YOU ARE ENROLLING THIS PLAN?*
YES
NO
IF YES, PLEASE LIST THE OHIO BWC NUMBER AND ENTITY NAME:
DOES YOUR COmPANY CURRENTLY HAVE A BWC MATTER PENDING BEFORE THE COURT OF COMMON PLEAS, THE COURT OF APPEALS OR THE OHIO SUPREME COURT?*
YES
NO
IN THE COMING 18 MONTHS, DOES YOUR COMPANY PLAN TO ACQUIRE ALL OR PART OF ANOTHER OHIO OPERATION OR ASSETS OF ANOTHER OHIO ENTITY?*
YES
NO
CERTIFICATION:
 proceed to payment