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Medical providers must report job-related injuries to your employers workers compensation insurer (the company from which your employer has purchased workers compensation insurance) within three working days.
You should maintain a record of the injury for a year. If you learn later that the injury has worsened and requires medical attention from a licensed practitioner, you must report the injury within five days by using Form 801.
Your first check will usually be issued two weeks after you report the claim to your employer. If the insurer denies your claim within 14 days, no time-loss benefits will be paid.
Report of Job Injury or Illness, Workers Compensation Claim Form 801. Page 1. Worker. Workers compensation claim. To make a claim for a work-related injury or illness, fill out the worker portion of this form and give to your employer.
In the case of a workplace accident or traumatic injury, you must notify your employer within 90 days of the incident; however, this does not apply to overuse injuries or occupational disease.
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Fill out Form 801 Report of Job Injury or Illness and turn it in to your employer. Your employer should send it to its workers compensation insurance carrier within five days of your notice. Your employer should provide you this form.
Medical providers must report job-related injuries to your employers workers compensation insurer (the company from which your employer has purchased workers compensation insurance) within three working days.
Call 800-922-2689 (toll-free), 503-378-3272, or Oregon Emergency Response, 800-452-0311 (toll-free), on nights and weekends.
After an injury or illness occurs, your employer must: Provide a workers compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.
Report of Job Injury or Illness, Workers Compensation Claim Form 801. Page 1. Worker. Workers compensation claim. To make a claim for a work-related injury or illness, fill out the worker portion of this form and give to your employer.

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