Some state worker's compensation acts also provide that a formal claim for compensation be made, either to the employer, the compensation board, or to the state commission board with notice to the employer that the claim is being made. This claim or notice of claim is different from the notice of injury and is governed by a different, and sometimes longer, statute of limitations. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
The Oregon Notice of Work-Related Injury and Claim for Worker's Compensation is a crucial document that must be completed when an employee in Oregon experiences an injury or illness that occurred in the workplace or during the course of their employment. This form is used to initiate the process of filing a worker's compensation claim in Oregon. Keywords: Oregon, notice, work-related injury, claim, worker's compensation, form, workplace, employment. There are different types of Oregon Notice of Work-Related Injury and Claim for Worker's Compensation forms that cater to specific situations. These variations are designed to ensure accurate reporting and proper handling of different types of work-related injuries or illnesses. Here are some of the commonly used forms in Oregon: 1. Form 801 — Original Notice of Work-Related Injury or Disease: This form is utilized when an employee initially reports a work-related injury, illness, or disease to their employer. It includes detailed information about the employee, employer, and the injury or disease, helping to establish the basis for a worker's compensation claim. 2. Form 827 — Worker's and Health Care Provider Report for Workers' Compensation Claims: This form is completed by the injured employee's healthcare provider. It provides an in-depth medical report, including diagnosis, treatment, prognosis, and work restrictions. This form is crucial in assessing the severity of the injury and determining appropriate benefits. 3. Form 827a — Worker's and Health Care Provider's Request to Close Claim: When the injured employee and their healthcare provider believe that the worker's compensation claim can be closed, this form is utilized to formally request the closure. It includes medical evidence supporting the request and may require additional documentation, such as an independent medical examination report. 4. Form 846 — Vocational Assistance Application: In situations where an employee's injury or illness prevents them from returning to their previous job, this form is used to request vocational assistance. It helps the injured worker explore potential job opportunities and access training or rehabilitation programs to help them reenter the workforce. 5. Form 827b — Attending Physician's Request for Independent Medical Examination: If there is a dispute regarding the injured employee's medical condition or treatment, either the employer or the injured worker's attorney can request an independent medical examination (IME) using this form. The IME provides an impartial assessment of the employee's condition to aid in resolving the dispute. By completing the relevant Oregon Notice of Work-Related Injury and Claim for Worker's Compensation forms accurately and promptly, injured employees can ensure that their workers' compensation claims are processed efficiently, and they receive the necessary benefits and support during their recovery.The Oregon Notice of Work-Related Injury and Claim for Worker's Compensation is a crucial document that must be completed when an employee in Oregon experiences an injury or illness that occurred in the workplace or during the course of their employment. This form is used to initiate the process of filing a worker's compensation claim in Oregon. Keywords: Oregon, notice, work-related injury, claim, worker's compensation, form, workplace, employment. There are different types of Oregon Notice of Work-Related Injury and Claim for Worker's Compensation forms that cater to specific situations. These variations are designed to ensure accurate reporting and proper handling of different types of work-related injuries or illnesses. Here are some of the commonly used forms in Oregon: 1. Form 801 — Original Notice of Work-Related Injury or Disease: This form is utilized when an employee initially reports a work-related injury, illness, or disease to their employer. It includes detailed information about the employee, employer, and the injury or disease, helping to establish the basis for a worker's compensation claim. 2. Form 827 — Worker's and Health Care Provider Report for Workers' Compensation Claims: This form is completed by the injured employee's healthcare provider. It provides an in-depth medical report, including diagnosis, treatment, prognosis, and work restrictions. This form is crucial in assessing the severity of the injury and determining appropriate benefits. 3. Form 827a — Worker's and Health Care Provider's Request to Close Claim: When the injured employee and their healthcare provider believe that the worker's compensation claim can be closed, this form is utilized to formally request the closure. It includes medical evidence supporting the request and may require additional documentation, such as an independent medical examination report. 4. Form 846 — Vocational Assistance Application: In situations where an employee's injury or illness prevents them from returning to their previous job, this form is used to request vocational assistance. It helps the injured worker explore potential job opportunities and access training or rehabilitation programs to help them reenter the workforce. 5. Form 827b — Attending Physician's Request for Independent Medical Examination: If there is a dispute regarding the injured employee's medical condition or treatment, either the employer or the injured worker's attorney can request an independent medical examination (IME) using this form. The IME provides an impartial assessment of the employee's condition to aid in resolving the dispute. By completing the relevant Oregon Notice of Work-Related Injury and Claim for Worker's Compensation forms accurately and promptly, injured employees can ensure that their workers' compensation claims are processed efficiently, and they receive the necessary benefits and support during their recovery.
