The Hillsboro Oregon Notice of Closure Worksheet — Injury On or After January 1, 2005, is a crucial document pertaining to workers' compensation claims in the state of Oregon. This worksheet is used to provide a detailed summary of the benefits and closure information related to a specific injury that occurred on or after January 1, 2005. The primary purpose of the Hillsboro Oregon Notice of Closure Worksheet is to formally close a workers' compensation claim, ensuring that all benefits and entitlements have been accurately calculated and administered. It is essential for both the injured worker and the employer or insurer involved in the claim process. Some key components included in the Hillsboro Oregon Notice of Closure Worksheet — Injury On or After January 1, 2005, are: 1. Claimant Information: This section requires detailed identification details of the injured worker, including their name, address, contact information, and social security number. 2. Employment Details: Here, you must provide information regarding the employment status at the time of the injury, including job title, wage rate, hours worked, and the name of the employer. 3. Injury Information: This section requires a description of the injury sustained, including the date, time, and place of the accident. It should also include a detailed explanation of the specific body part affected and the nature of the injury. 4. Medical Treatment: This section requires listing all medical providers involved in the treatment of the injury. It should include the names, addresses, and contact information of the physicians, therapists, and other healthcare professionals involved. 5. Temporary Total Disability (TTD) Compensation: This part compiles the total number of weeks the injured worker received temporary total disability benefits. It also captures the dates these benefits were paid and the corresponding compensation amount. 6. Permanent Partial Disability (PPD) Compensation: This section calculates the permanent impairment rating and provides a breakdown of the compensation amount based on a predetermined schedule outlined by the Oregon Workers' Compensation Division. 7. Vocational Assistance Benefits: If the injured worker received vocational assistance, this section lists the services provided, the duration of such assistance, and any associated costs. By accurately filling out the Hillsboro Oregon Notice of Closure Worksheet — Injury On or After January 1, 2005, all parties involved can ensure the proper closure of a workers' compensation claim. Different types of these worksheets may exist for specific industries or job types, but the overall purpose remains the same — to document the closure of a claim and provide detailed information related to the injury and its subsequent benefits.
Hillsboro Oregon Notice of Closure Worksheet - Injury On or After January 1, 2005
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How to fill out Hillsboro Oregon Notice Of Closure Worksheet - Injury On Or After January 1, 2005?
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Oregon's Workers' Compensation Act is no different. If you suffer an industrial injury, statute provides that ?notice of an accident resulting in an injury or death shall be given immediately by the worker or beneficiary of the worker to the employer, but not later than 90 days after the accident.? ORS 656.265(1)(a).
Medically stationary means that no further material improvement would reasonably be expected from medical treatment or the passage of time.
Notify the insurer within 30 days of your injury if you are missing wages from a second job. You may be eligible for additional time loss if your doctor authorizes time off or modified work from your secondary job. If your claim is denied within the first 14 days, you will not be compensated for missed wages.
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.
Call us at 800.285. 8525 if you need help finding a medical provider. Tell the doctor that it's a work-related injury. The doctor should complete an 827 (Attending Physician) form with you and send the form to SAIF.
Closed claim means a claim that has been settled, or otherwise disposed of, where the insurer has made all indemnity and expense payments on behalf of the insured.
Injury/illness report. Employers typically request that employees report occupational injuries/illnesses immediately but no later than 24 to 48 hours after the incident. This allows an employer to timely investigate the matter and take safety measures to avoid further incidents.
As per the Limitation Act 1980 the general time limit for a work accident claim for employer negligence is either: Three years from the date you suffered the accident, or. Three years from the date you became aware that negligence caused or contributed to your injury.
What is claim closure? When the insurer accepts your claim as disabling, you are notified that your claim is open or active. The claim will normally continue in that status until you recover from your on-the-job injury.
If you believe you were injured at work or suffer from an illness because of your job, tell your employer as soon as possible. Injured workers in Oregon have the right to file a claim, seek medical care, and access benefits for time off. For more information, read ?What happens if I'm hurt on the job?? (1138 brochure).