Report of Job Injury or Illness Forms
| Form Name | Report of Job Injury or Illness |
| Form # | 440-801 |
| Form Revision | 1/21 |
| Category | Forms » First Report |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | For use by injured workers and employers in reporting injury or illness claims |
| Claimwire Description | n/a |