Oregon workers compensation 2026

1. Click ‘Get Form’ to open the Oregon Workers Compensation form in the editor.
2. Begin by filling out the Requester Information section. Enter your name, company name, mailing address, city, state, ZIP code, phone number, fax number, and email. Clearly state your reason for requesting information.
3. Next, provide Worker Information. Fill in the worker's name, date of birth, social security number (required for claim history requests), insurer name, WCD file number, date of injury, and insurer claim number.
4. Select the Request Type by checking the appropriate box for claim history, entire file, certified reconsideration record, hearing date if known, or specific documents.
5. Finally, sign and date the form to certify your eligibility to receive workers' compensation claims information. Ensure you understand the legal implications of using this information.

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