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