Worker's and Health Care Provider's Report for Workers' Compensation Claims - Packet Forms
| Form Name | Worker's and Health Care Provider's Report for Workers' Compensation Claims - Packet |
| Form # | 440-827 |
| Form Revision | 6/24 |
| Category | Forms » First Report |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Completed by injured worker upon initial injury or aggravation of the injury after claim closure, as a request for acceptance of a new or omitted medical condition. |
| Claimwire Description | n/a |