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AGC-Oregon-Columbia-Chapter-Case-Study.
Sponsors and other special registration rate recipients are now able to register themselves through our website, rather than filling out paper forms and staff.
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Report of Job Injury or Illness, 801
*This form was modified by SAIF Corporation, and has been approved for use by the Oregon Workers Compensation Division. Do I have to provide my Social Security
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801 form - Report of Job Injury or Illness
By my signature, I am making a claim for workers compensation benefits. The above information is true to the best of my knowledge and belief.
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