Worker Leasing Notice (Client Proof of Coverage) Forms


Form NameWorker Leasing Notice (Client Proof of Coverage)
Form #440-2465
Form Revision8/18
CategoryForms » Board/Commission/Division
Downloads
Form StateOregon
LanguageEnglish
State DescriptionFiled by the leasing company whenever it provides workers to a client and workers' compensation coverage for those workers and other subject workers of the client.
Claimwire Descriptionn/a
Origami Risk
1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com

© 2025 Origami Risk. All Rights Reserved.