801 form
SAIF Corporation 801 Claim Form Military - UserManual.wiki
Even if the worker does not wish to file a claim, maintain a copy of this form. 30. Employer legal business name: 31. Phone: Oregon Military Department 33.
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Report of Job Injury or Illness
Call 800-922-2689 (toll-free), 503-378-3272, or Oregon Emergency Response, 800-452-0311 (toll-free), on nights and weekends. 801.
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Worker's Comp - Forms - Oregon State Risk Management
This form is to be completed by the manager/supervisor in cases of employee injury or work-related illness. SAIF 801 Form. For employee injuries where medical ...
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