Motion claim oregon 2025

1. Click ‘Get Form’ to open the motion claim oregon in the editor.
2. Begin by entering the insurer's name, address, and phone number at the top of the form. This information is crucial for processing your claim.
3. Fill in your personal details including your mailing date, WCD file number, date of injury, and insurer’s claim number. Ensure accuracy to avoid delays.
4. In section A, list any claims or conditions that have worsened under ORS 656.278(1)(a). Be specific about each condition for clarity.
5. For section B, detail any new or omitted medical conditions that are compensable under ORS 656.278(1)(b). This helps establish your eligibility for additional benefits.
6. If applicable, list medical services related to pre-1966 claims in section C. This ensures all relevant information is included.
7. Complete the notice to worker section by typing your authorized representative's name and ensuring distribution copies are noted correctly.
8. Finally, sign and date the document before submitting it as instructed on the form.

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