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Oregon Claim Move Notice: Changing locations of processing or storing of claims

State:
Oregon
Control #:
OR-SKU-1834
Format:
Word
Instant download
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Description

Claim Move Notice: Changing locations of processing or storing of claims

The Oregon Claim Move Notice is an official document issued by the Oregon Department of Human Services that permits the change of location for processing or storing of claims. This document is used to transfer claims from one location to another, and may be used in a variety of situations such as when a company is relocating, when a claim is being processed through a third-party entity, or when a claim is being moved to a different office. The document outlines the necessary information necessary for the move, such as the name and address of the new location, the date the move will take place, and any relevant contact information. There are two types of Oregon Claim Move Notice: a single-location move, which involves transferring a claim from one location to another, and a multi-location move, which involves transferring a claim from multiple locations to a single location. Both types of moves require the completion of the Oregon Claim Move Notice and the submission of the required supporting documents.

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FAQ

To browse FormTitleCategory801Report of Job Injury or IllnessFirst report of injury801sReporte de Lesion o Enfermedad en el TrabajoFirst report of injury

This bulletin provides updated benefit rates based on the Oregon state average weekly wage. This bulletin replaces Bulletin No. 111 dated . July 1, 2023, through June 30, 2024, the SAWW used to compute workers' compensation benefits is $1,295.86.

Worker's compensation form completed when the patient first seeks treatment for a work-related illness or injury. It does not contain a signature line. It is filed with State Worker's Compensatin Board/Commission.

The Form 43 is to be completed by the respondent (employer/workers' compensation insurance carrier) to notify the Administrative Law Judge, the claimant (employee/decedent), and all parties to the claim of its intention to deny the compensability of all or part of the claimant's claim to workers' compensation benefits.

Authorization to release medical records By signing this form, you authorize health care providers and other custodians of claim records to release relevant records to the workers' compensation insurer, self-insured employer, claim administrator, and the Oregon Department of Consumer and Business Services.

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.

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Oregon Claim Move Notice: Changing locations of processing or storing of claims