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Workers' Compensation Division (WCD)

Department Consumer & Business Services Department Divisions Building Codes Division Finance And Corporate Securities Fiscal and Business Services Information Management Division Insurance Division Oregon Occupational Safety And Health Division Workers' Compensation Division Offices Director's Office Ombudsman For Injured Workers Senior Health Insurance Benefits Assistance Small Business Ombudsman Boards Management-Labor Advisory Committee Oregon Medical Insurance Pool Board Workers' Compensation Board Home About Us Contact Us Customer Service Audits Laws & Rules Bulletins Forms Legislation Dispute Resolution Electronic Data-EDI Independent Medical Exam Ombudsmen Performance Measures Workers' Benefit Fund Jobs with WCD

Shelly Cochran    503-947-7623    Workers’ compensation forms by category Assessment forms Closure and related forms Employer-at-Injury Program First report of injury Insurer and Self-Insurer Medical Preferred Worker Program Proof of coverage; insurer Request for WCD claim file information Requests to WCD for review of a decision or resolution of a dispute Self-insured employer Subscription service Vocational rehabilitation Worker leasing companies - application for license and proof of coverage Workers' Compensation Board  Form No. 440- Revision date Title and description Associated Bulletin (if any) Assessment Forms To Top Closure and related forms To Top Employer-at-Injury Program To Top First report of injury To Top Insurer and self-insurer To Top Medical To Top Preferred Worker Program To Top Proof of coverage; insurer To Top Request for WCD file information To Top Requests to WCD for review of a decision or resolution of a dispute To Top Self-insured employer To Top Subscription service To Top Vocational rehabilitation To Top Worker leasing companies - application for license and proof of coverage To Top Workers’ Compensation Board To Top     See the Board's Web site for bulletins   If you have questions about this webpage, please contact Shelly Cochran, 503-947-7623.

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