Oregon workers compensation claim 2026

1. Click ‘Get Form’ to open the Oregon Workers Compensation Claim in the editor.
2. Begin by filling in your personal information in the 'Worker Information' section. Enter your name, address, insurer claim number, and date of injury accurately.
3. In the 'Worker Authorization/Signature' section, sign and date the form to authorize medical providers to release relevant medical records related to your claim.
4. List any claimed conditions in the designated area. Be specific about your conditions to ensure all necessary information is included.
5. If applicable, note any separate authorizations required for sensitive information such as drug treatment programs or HIV-related data.
6. Complete the requester’s information at the bottom of the form, including name, attention line, address, phone number, and fax number for record submission.

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