Application for Approval of Lump-sum Payment of Award Forms
| Form Name | Application for Approval of Lump-sum Payment of Award |
| Form # | 440-1174 |
| Form Revision | 1/08 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Worker's request for lump-sum payment of permanent partial disability award. |
| Claimwire Description | n/a |