Oregon Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
Hear this out loud PauseIn the case of a workplace accident or traumatic injury, you must notify your employer within 90 days of the incident; however, this does not apply to overuse injuries or occupational disease.
Hear this out loud PauseComplete Form 801, ?Report of Job Injury or Illness,? available from your employer and Form 827, ?Worker's and Health Care Provider's Report for Workers' Compensation Claims,? available from your health care provider.
Ask your employer the name of its workers' compensation insurer. ? Complete Form 801, ?Report of Job Injury or Illness,? available from your employer and Form 827, ?Workers' and Health Care Provider's Report for Workers' Compensation Claim,? available from your health care provider.
Hear this out loud PauseThis is an average of all the wages, overtime, commissions, room and board, and other monetary compensation you received during the last 52 weeks of employment. Once the insurer calculates your average weekly wage, it will pay you 2/3rds of that amount in time loss. Time loss is paid every two weeks.
The CA-1 form is used if the employee has sustained a Traumatic Injury on the job. Traumatic Injury - A wound or other condition of the body caused by external force, including stress or strain.
Complete Form 801, ?Report of Job Injury or Illness,? available from your employer and Form 827, ?Worker's and Health Care Provider's Report for Workers' Compensation Claims,? available from your health care provider.
Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information.
Hear this out loud Pause?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.