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Workers Compensation Surety Rider - Oregon

Workers Compensation Surety Rider - Oregon 2026

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The document is a Surety Rider intended to modify an existing surety bond for a Principal and Surety in favor of the State of Oregon's Workers' Compensation Division. It outlines the agreement to change the penal sum and ensures that the Surety covers all liabilities of the Principal as a self-insured employer, without altering other bond provisions. The document includes spaces for signatures and dates to formalize the agreement.

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Click ‘Get Form’ to open the Workers Compensation Surety Rider - Oregon in the editor.
Begin by filling in the bond number at the top of the form, ensuring accuracy as this links to your surety bond.
Next, enter the names of the Principal and Surety in the designated fields. This identifies who is involved in the agreement.
Specify the effective date of the rider by filling in the day and year. This is crucial for legal validity.
In the section regarding changes, check either 'penal sum' or 'penal sum and Principal' based on your needs, then indicate the amounts accordingly.
Complete all signature fields at the bottom of each page, ensuring that all parties sign and print their names and titles for clarity.
Finally, review all entries for accuracy before saving or exporting your completed document for submission.

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