Request for Workers' Compensation Division Claim Records Forms
| Form Name | Request for Workers' Compensation Division Claim Records |
| Form # | 440-3088 |
| Form Revision | 3/24 |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Used by insurers, self-insured employers, authorized service companies, and their legal representatives to obtain records for the sole purpose of processing workers' compensation claims. |
| Claimwire Description | n/a |