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Get OR Form 440-801 2000-2024

from the Workers' Compensation Division (and the injury occurred on or before the eligibility end date on the card or notice). Si Ud. tiene preguntas relacionadas a este formulario, comuníquese con la División de Compensación para Trabajadores, Sección de Beneficios, en Salem al número telefónico (503) 947-7585, TTY: (503) 947-7993, o (llamada gratis en Oregon) (800)452-0288. 440-801 (1/00) WC 8468b (1-00) UNIFORM INFORMATION SERVICES, INC. If you have questions about this form, call t.

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