Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease is a form used by Ohio employers to file a claim for benefits in the event of an employee's death due to an occupational disease. This form requests information about the employee, the nature of the disease, and the date of death. It also requires information about any benefits the employee may have received prior to death. There are three types of Ohio Application For Adjustment Of Claim In Case Of Death Due To Occupational Disease: (1) Ohio BWC Form C-86, (2) Ohio BWC Form C-86A, and (3) Ohio BWC Form C-86B. Ohio BWC Form C-86 is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's estate. Ohio BWC Form C-86A is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's surviving spouse or child. Ohio BWC Form C-86B is used to report the death of an employee due to an occupational disease and to adjust the claim of the decedent's parents.