Worker Request for Claim Classification Review Forms
| Form Name | Worker Request for Claim Classification Review |
| Form # | 440-2943 |
| Form Revision | 4/20 |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Used by workers and their legal representatives to request review of an insurer's classification of a claim as nondisabling. |
| Claimwire Description | n/a |