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98 052 EFFECTIVE JULY 1, DEPARTMENT of CONSUMER and BUSINESS SERVICES WORKERS' COMPENSATION DIVISION OREGON ADMINISTRATIVE Form

98 052 EFFECTIVE JULY 1, DEPARTMENT of CONSUMER and BUSINESS SERVICES WORKERS' COMPENSATION DIVISION OREGON ADMINISTRATIVE Form

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Video instructions and help with filling out and completing 98 052 EFFECTIVE JULY 1, DEPARTMENT OF CONSUMER AND BUSINESS SERVICES WORKERS' COMPENSATION DIVISION OREGON ADMINISTRATIVE RULES CHAPTER 436, DIVISION 009 OREGON MEDICAL FEE AND RELATIVE VALUE SCHEDULE TABLE OF CONTENTS RULE Wcd Form

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Instructions and help about 98 052 EFFECTIVE JULY 1, DEPARTMENT OF CONSUMER AND BUSINESS SERVICES WORKERS' COMPENSATION DIVISION OREGON ADMINISTRATIVE RULES CHAPTER 436, DIVISION 009 OREGON MEDICAL FEE AND RELATIVE VALUE SCHEDULE TABLE OF CONTENTS RULE Wcd

[ Upbeat synthesizer music] Welcome to the Oregon Workers’ Compensation  Division’s Form 801 video. This video was created by the Oregon Department of Consumer and Business  Services’ Ombuds Office for Oregon Workers. We created   this video to help guide you through how to complete the worker portion of Form 801, Report  of Job Injury or Illness. To make a claim for a  work-related injury or illness, you will need to  fill out the worker portion of Form 801 and give  it to your employer. If you do not intend to file  a workers’ compensation claim with the insurance   company, do not sign the signature line. After you   fill out and hand in the form, your employer should  give you a copy of the form for your records. The first step is to fill in the date your injury or   illness occurred. This gets a little trickier to do  in cases of injuries or illnesses that happen over time with no clear start date. In those cases, time with no clear start date. you may want t

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