We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Blank 801 Form

Get Blank 801 Form

Insert self-insured employer and insurer name, address, phone number, and service company, if any. Report of Job Injury or Illness Workers compensation claim Worker To make a claim for a work-related.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

Tips on how to fill out, edit and sign Blank 801 Form online

How to fill out and sign Blank 801 Form online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Legal, business, tax as well as other e-documents require higher of protection and compliance with the law. Our forms are updated on a regular basis in accordance with the latest legislative changes. Plus, with our service, all of the information you provide in the Blank 801 Form is protected against loss or damage by means of industry-leading file encryption.

The following tips will help you fill out Blank 801 Form easily and quickly:

  1. Open the form in the feature-rich online editor by clicking Get form.
  2. Complete the requested fields that are marked in yellow.
  3. Click the green arrow with the inscription Next to jump from box to box.
  4. Go to the e-signature tool to put an electronic signature on the template.
  5. Add the date.
  6. Read through the entire e-document to make sure you haven?t skipped anything.
  7. Hit Done and save your new form.

Our solution allows you to take the whole process of submitting legal forms online. As a result, you save hours (if not days or even weeks) and get rid of extra costs. From now on, fill out Blank 801 Form from home, place of work, or even while on the move.

How to edit Blank 801 Form: customize forms online

Forget a traditional paper-based way of executing Blank 801 Form. Get the document completed and certified in no time with our professional online editor.

Are you challenged to revise and complete Blank 801 Form? With a professional editor like ours, you can perform this task in only minutes without the need to print and scan documents over and over again. We provide completely customizable and straightforward document templates that will serve as a start and help you complete the necessary form online.

All files, by default, come with fillable fields you can complete once you open the document. Nevertheless, if you need to improve the existing content of the form or insert a new one, you can select from a variety of customization and annotation tools. Highlight, blackout, and comment on the text; add checkmarks, lines, text boxes, images and notes, and comments. Moreover, you can quickly certify the document with a legally-binding signature. The completed form can be shared with others, stored, sent to external programs, or converted into any popular format.

You’ll never go wrong by choosing our web-based tool to complete Blank 801 Form because it's:

  • Easy to set up and use, even for those who haven’t completed the paperwork online before.
  • Powerful enough to accommodate multiple modifying needs and document types.
  • Safe and secure, making your editing experience protected every time.
  • Available for different operating systems, making it effortless to complete the document from anyplace.
  • Capable of creating forms based on ready-made templates.
  • Friendly to various document formats: PDF, DOC, DOCX, PPT and JPEG etc.

Don't waste time completing your Blank 801 Form obsolete way - with pen and paper. Use our full-featured option instead. It offers you a comprehensive suite of editing tools, built-in eSignature capabilities, and convenience. The thing that makes it stand out is the team collaboration options - you can collaborate on documents with anyone, build a well-organized document approval workflow from A to Z, and a lot more. Try our online tool and get the best value for your money!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Department of Consumer and Business Services :...
Form 801 Spanish — Reporte de Lesión o Enfermedad en el Trabajo (801s). Form 827...
Learn more
Form 801
Workers' compensation claim. Worker. To make a claim for a work-related injury or illness...
Learn more
Seared Stone (Fluid) - Feed The Beast Wiki - FTB...
Apr 22, 2019 · It is a liquid form of the Seared Stone. ... Stone Broad Axe Head, 801...
Learn more

Related links form

I-V4 (1) Logical And Arithmetic Shift Microsoft, IBM Highlight Software Development Advances - Network World - Cs Cmu Health Insurance Form - Carnegie Mellon University

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

​Tell your employer about your work-related injury or illness right away. 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.

By Jodie Anne Phillips Polich, P.C. Oregon has no time limit on how long a worker can collect compensation, or what is more frequently referred to as lost wages, time loss, or temporary disability payments. There are requirements to obtain such compensation.

The exclusive remedy provision states that an employee injured on the job is entitled to workers' compensation benefits but may not sue the employer for damages. Partly in response to these decisions, the 1995 Legislature passed SB 369.

Oregon's Employer Liability Law requires Oregon's employers to provide the safest possible work environment when the work being performed involves a risk or danger to the employee or the public. This includes constructing a building. See ORS 654.305; 654.310.

​Fair Political Practices Commission Form 801 is used to report certain payments received by state and local government agencies that are used for agency purposes and paid by a third party.

This could also jeopardize your employment. If you quit your job while receiving time loss benefits, or are fired for reasons unrelated to your injury, the insurer may stop paying you. The insurer must mail your first time loss check within 14 days of its notice that you are missing work with a doctor's note.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Blank 801 Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232