Saif form 2011-2026

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The document is a guide for workers on how to file a claim for job-related injuries or illnesses with SAIF Corporation. It includes instructions for completing the necessary forms, obtaining medical treatment, and understanding wage loss payments. Additionally, it provides contact information for assistance and outlines the rights of injured workers regarding their claims.

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Click ‘Get Form’ to open the saif form 2011 in the editor.
Begin by entering your claim number and subject date at the top of the form. This information is crucial for tracking your claim.
Fill in the worker's details, including your legal name, mailing address, and social security number. Ensure accuracy as this information is vital for processing your claim.
In the injury section, provide specific details about the date, time, and nature of your injury or illness. Be descriptive about what caused it and any tools or machinery involved.
Complete the employer section with their legal business name and contact information. This helps in verifying your employment status.
Review all entered information for accuracy before signing. Your signature confirms that you are making a claim for workers' compensation benefits.

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Versions	Form popularity	Fillable & printable
2020	4.6 Satisfied (23 Votes)
2017	4.8 Satisfied (160 Votes)
2016	4.3 Satisfied (93 Votes)
2011	4.3 Satisfied (66 Votes)
2010	4 Satisfied (37 Votes)
2005	4 Satisfied (49 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a 827 form in Oregon?

 Complete Form 801, Report of Job Injury or Illness, available from your employer and Form 827, Workers and Health Care Providers Report for Workers Compensation Claims, available from your health care provider. How do I get medical treatment?

What is an 801 form in Oregon?

Fill out Form 801 Report of Job Injury or Illness and turn it in to your employer. Your employer should send it to its workers compensation insurance carrier within five days of your notice. Your employer should provide you this form.

What is saif?

The State Accident Insurance Fund Corporation (SAIF) is a not-for-profit, state-chartered workers compensation insurance company in the U.S. state of Oregon.

How do I file a claim with Saif?

File by phone Call us toll free at 1.888. 373.8689. If youre calling from Salem, call us at 503.373. 8295.