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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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SAIF Corporation 801 Claim Form
Report of Job Injury or Illness. Workers compensation claim. Worker. To make a claim for a work-related injury or illness, fill out the worker portion of
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Workers Comp - Forms
SAIF 801 Form (Link downloads document). For employee injuries where medical attention is sought, the SAIF 801 form would be completed within 24 hours by the
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