PHYSICIAN AUTHORIZATION OF SUPPLEMENTAL DISABILITY Forms
| Form Name | PHYSICIAN AUTHORIZATION OF SUPPLEMENTAL DISABILITY |
| Form # | 440-3531 |
| Form Revision | 9/03 |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | An injured worker should have their physician complete this form in order for the worker to continue receiving supplemental disability. |
| Claimwire Description | n/a |