Worker's and Health Care Provider's Report for Workers' Compensation Claims - Packet (Spanish) Forms
Form Name | Worker's and Health Care Provider's Report for Workers' Compensation Claims - Packet (Spanish) |
Form # | 440-827s |
Form Revision | 7/22 |
Category | Forms » Medical/Health |
Downloads | |
Form State | Oregon |
Language | Spanish |
State Description | Completed by injured worker upon initial injury, when requesting acceptance of a new or omitted medical condition. |
Claimwire Description | n/a |