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Oregon Workers Compensation Legal Forms & Contracts
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2004-2005 Planning Calendar
Download:PDF Format
Analysis Of Upper Extremity Use For Office Activities
Download:PDF Format
Application For Approval Of Lump-sum Payment Of Award
Download:PDF Format
Application For Worker Leasing Company License
Download:PDF Format
Application For Workers' Compensation Claims-history Service
Download:PDF Format
Authorization Of Vocational Assistance Provider
Download:PDF Format
Bulletin For Request For Administrative Review Of Medical Issues
Download:PDF Format
Bulletin For Application For Approval Of Lump-sum Payment Of Award
Download:PDF Format
Bulletin For Elective Surgery Notification
Download:PDF Format
Bulletin For Employer-at-injury Program (eaip) Reimbursement Request Form
Download:PDF Format
Bulletin For First Report Of Injury (spanish)
Download:PDF Format
Bulletin For First Report Of Injury
Download:PDF Format
Bulletin For Insurer Notice Of Closure Summary
Download:PDF Format
Bulletin For Insurer's Report
Download:PDF Format
Bulletin For Insurer's Request For Director Approval Of An Insurer Medical Examination
Download:PDF Format
Bulletin For Invasive Medical Procedure Authorization
Download:PDF Format
Bulletin For Medical Fee Disputes
Download:PDF Format
Bulletin For Medical Reports
Download:PDF Format
Bulletin For Notice Of Closure Board's Own Motion Claim
Download:PDF Format
Bulletin For Notice To Worker
Download:PDF Format
Bulletin For Preferred Workers Program
Download:PDF Format
Bulletin For Premium Assessment Report To Department Of Consumer And Business Services, Business Administration Division, Fiscal Services Section
Download:PDF Format
Bulletin For Proof Of Coverage, Insurer
Download:PDF Format
Bulletin For Release To Return To Work
Download:PDF Format
Bulletin For Reopened Claims Reserve Reimbursement Request
Download:PDF Format
Bulletin For Request For Contested Case Hearing
Download:PDF Format
Bulletin For Request For Release Of Medical Records For Oregon Workers' Compensation Claim
Download:PDF Format
Bulletin For Requests To Wdc For Review
Download:PDF Format
Bulletin For Supplemental Disability Payment Voucher
Download:PDF Format
Bulletin For Surety Bond
Download:PDF Format
Bulletin For Surety Rider
Download:PDF Format
Bulletin For Vocational Rehabilitation
Download:PDF Format
Bulletin For Worker's Request To Change Attending Physicians
External Resource:Open Form
Bulletin For Worker's And Physician's Report For Workers' Compensation Claims
Download:PDF Format
Bulletin For Workers Leasing Companies
Download:PDF Format
Cancellation Notice
Download:PDF Format
Carrier's Own Motion Recommendation Form
Download:PDF Format
Claim Reserve Worksheet
Download:PDF Format
Correcting Notice Of Closure With Check Boxes
Download:PDF Format
Correcting Notice Of Closure
Download:PDF Format
Diskette Order Form; Oregon Workers' Compensation (medical) Payments
Download:PDF Format
Elective Surgery Notification
Download:PDF Format
Employer-at-injury Program (eaip) Reimbursement Request Form
Download:PDF Format
Endorsement To Guaranty Contract
Download:PDF Format
Endorsement To Worker Leasing Notice
Download:PDF Format
Guaranty Contract Between The Insurer And The Department Of Consumer & Business Services
Download:PDF Format
Insurer Notice Of Closure Summary
Download:PDF Format
Insurer Notice Of Closure Worksheet
Download:PDF Format
Insurer's Report
Download:PDF Format
Insurer's Request For Director Approval Of An Insurer Medical Examination
Download:PDF Format
Invasive Medical Procedure Authorization
Download:PDF Format
Job Analysis For Worksite Modification, Preferred Worker Program, Attachment A
Download:PDF Format
Medical Fee Dispute Resolution Request
Download:PDF Format
Medical Fee Dispute Resolution Worksheet
Download:PDF Format
Notice Of Closure (provides 180 Day Appeal Rights Rather Than The Current 60 Days)
Download:PDF Format
Notice Of Closure With Check Boxes
Download:PDF Format
Notice Of Closure: Own Motion Claim
Download:PDF Format
Notice Of Closure
Download:PDF Format
Notice Of Voluntary Reopening Of Workers' Compensation Claim
Download:PDF Format
Notice To Worker (spanish)
Download:PDF Format
Notice To Worker
Download:PDF Format
Physcians Guide
Download:PDF Format
Preferred Worker Eligibility Card
Download:PDF Format
Preferred Worker Identification Card
Download:PDF Format
Preferred Worker Obtained Employment Purchase Agreement
Download:PDF Format
Preferred Worker Program Quarterly Claim Cost Reimbursement Request
Download:PDF Format
Preferred Worker Program Quarterly Obtained Employment Purchase Agreement Moving Assistance
Download:PDF Format
Preferred Worker Wage Subsidy Agreement
Download:PDF Format
Preferred Worker Worksite Modification Agreement (limited To $2,500)
Download:PDF Format
Premium Assessment Report To Department Of Consumer And Business Services, Business Administration Division, Fiscal Services Section
Download:PDF Format
Range Of Motion And Deformity/deviation; Amputation And Sensation Of The Upper Extremity
Download:PDF Format
Reinstatement Of Guaranty Contract
Download:PDF Format
Release To Return To Work
Download:PDF Format
Reopened Claims Reserve Reimbursement Request
Download:PDF Format
Report Of Gross Annual Income
Download:PDF Format
Reporte Del Trabajador De Lesión O Enfermedad Ocupacional
Download:PDF Format
Reporte Del Trabajador Y Médico Para Reclamaciones De Compensación Para Trabajadores
Download:PDF Format
Request For Administrative Approval (to Be Filed For Reimbursable Claims Only)
Download:PDF Format
Request For Administrative Review Of Medical Issues
Download:PDF Format
Request For Approval Of Training Program
Download:PDF Format
Request For Contested Case Hearing
Download:PDF Format
Request For Release Of Medical Records For Oregon Workers' Compensation Claim
Download:PDF Format
Request For Wcd Claim File Information
Download:PDF Format
Return-to-work Plan Direct Employment
Download:PDF Format
Return-to-work Plan Training
Download:PDF Format
Sample Cda Agreement
Download:PDF Format
Self Insured Report Of Loss Bulletin
Download:PDF Format
Self-insurer Report Of Losses Experience Rating Period
Download:PDF Format
Spinal Range Of Motion
Download:PDF Format
Supplemental Disability Benefits Quarterly Reimbursement Request
Download:PDF Format
Supplemental Disability Payment Voucher
Download:PDF Format
Surety Bond
Download:PDF Format
Surety Rider
Download:PDF Format
Termination Of WorkersÆ Compensation Coverage To Client Of Worker Leasing Company
Download:PDF Format
Understanding Workers' Compensation Claims (spanish)
Download:PDF Format
Understanding Workers' Compensation Claims
Download:PDF Format
Visual Impairment
Download:PDF Format
Vocational Assistance Certification Program Individual Certification Under Oar 436-120
Download:PDF Format
Vocational Closure Report
Download:PDF Format
Vocational Reimbursement Request (required For Pre-1986 Injuries Only)
Download:PDF Format
Wbf Corrections And Changes Form
Download:PDF Format
Worker Leasing Notice To The Department Of Consumer & Business Services
Download:PDF Format
Worker Request For Reconsideration
Download:PDF Format
Worker Requested Medical Examination Statement Of Interest
Download:PDF Format
Worker's Request To Change Attending Physicians
Download:PDF Format
Worker's And Physician's Report For Workers' Compensation Claims (spanish)
Download:PDF Format
Worker's And Physician's Report For Workers' Compensation Claims
Download:PDF Format
Workers' Compensation Payroll & Assessment Quarterly Report
Download:PDF Format
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