Oregon Work Request Cover Sheet
Description
How to fill out Work Request Cover Sheet?
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FAQ
This 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.
Division of Workers' Compensation (DWC): A division within the state Department of Industrial Relations (DIR).
CA-7 - Claim for Compensation on Account of Traumatic Injury or Occupational Disease. Used for the following purposes: To claim lost wages when continuation of pay expires on a traumatic injury, and to claim wage loss on occupational disease claims.
Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information.
A DWC 1 is the form that is filled out to report an injury to your employer, and officially initiate a workers' compensation claim. DWC stands for Division of Workers' Compensation, this is the government agency that monitors workers' compensation claims and law.
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.
Division of Workers' Compensation Notice to Employees--Injuries Caused By Work. You may be entitled to workers' compensation benefits if you are injured or become ill because of your job. Workers' compensation covers most work-related physical or mental injuries and illnesses.
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.
