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At claim closure, a self-insurer must send the closing order to the worker and attending or treating doctor. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. (b) For a TL claim, use a Self-Insured Employers' Time-Loss Claim Closure Order and a department-developed form1. The employer should advise BWC within 30 days of lost time associated with the occupational disease claim. Use the FROI to complete initial application. Employers wanting to self-insure their workers' compensation liabilities must apply to the Office of Self-Insurance Plans (OSIP) for approval. An employer that successfully self-insures has active loss control programs and services. (b) Notices of Closure that rescind permanent total disability under ORS 656.206. (b) The notice must advise the worker of his or her impending claim closure and that any time loss disability payments will end soon.