Oregon Report Of Injury Or Illness

State:
Oregon
Control #:
OR-SKU-1724
Format:
Word
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Description

Report Of Injury Or Illness

Oregon Report Of Injury Or Illness is a form that must be completed by employers in Oregon when an employee is injured or becomes ill due to a work-related incident. The completed form must be sent to the Oregon Workers’ Compensation Division. It is used to report all work-related injuries or illnesses and to provide the necessary information to process a workers’ compensation claim. There are two types of the Oregon Report Of Injury Or Illness: an initial report and a supplementary report. The initial report is used to report the initial injury or illness and must be completed by the employer within seven days of the incident. The supplementary report is used to report any changes in the employee’s condition that occurs after the initial report has been submitted. The supplementary report must be completed as soon as the employer is aware of the changes.

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FAQ

You should maintain a record of the injury for a year. If you learn later that the injury has worsened and requires medical attention from a licensed practitioner, you must report the injury within five days by using Form 801.

Report the injury or illness to your employer If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.

Under Oregon's workers' compensation laws, a person cannot be retaliated against for reporting a workplace injury and for filing a workers' comp claim. Additionally, a person cannot be terminated from their position simply because they are receiving continued workers' compensation benefits while they recover.

As with most no-fault insurance, workers' compensation is fair only if it applies to all workers and employers. Oregon requires almost all employers to carry workers' compensation insurance for their employees. If you employ workers in Oregon, you probably need workers' compensation coverage.

Authorization to release medical records By signing this form, you authorize health care providers and other custodians of claim records to release relevant records to the workers' compensation insurer, self-insured employer, claim administrator, and the Oregon Department of Consumer and Business Services.

To browse FormTitleCategory801Report of Job Injury or IllnessFirst report of injury801sReporte de Lesion o Enfermedad en el TrabajoFirst report of injury

Fill out Form 801 ?Report of Job Injury or Illness? and turn it in to your employer. Your employer should send it to its workers' compensation insurance carrier within five days of your notice. Your employer should provide you this form.

Report of Job Injury or Illness, Workers' Compensation Claim Form 801. Page 1. Worker. Workers' compensation claim. To make a claim for a work-related injury or illness, fill out the worker portion of this form and give to your employer.

More info

Instructions: Complete this form as soon as possible after an incident that results in serious injury or illness. Tell what happened and how it happened.INSTRUCTIONS FOR EMPLOYERS FIRST REPORT OF. INJURY OR ILLNESS (DWC FORM-001). Type (or print in black ink) each item on this form. This form is for the employer to report every work-related injury to its insurance company. Please complete in triplicate (type if possible) Mail two copies to: OSHA CASE NO. FATALITY. This report should be completed online. The form will be sent automatically to the Workers Compensation office and entity Employee Health and the safety office. If you, the employer, need assistance to complete the form contact your workers' compensation insurance carrier or claims administrator. Employer's First Report of Occupational Injury or Illness.

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Oregon Report Of Injury Or Illness