Oregon Forms


 31 State Forms found

name number revision print or send online

Claim Reserve Worksheet

440-2808 1/23

Application for Approval of Lump-sum Payment of Award

440-1174 1/08

TAX COMPLIANCE CERTIFICATION

150-800-743 7-06

Excess Insurance Reporting and Reimbursement

440-2937 1/25

Fee Discount Agreement

440-3659 12/08

Preferred Worker Employment Purchase Agreement

440-2350 6/23

Preferred Worker Employment Purchase Agreement (Spanish)

440-2350s 6/23

Preferred Worker Program Quarterly Claim Cost Reimbursement Request

440-3014 6/23

Preferred Worker Program Quarterly Claim Cost Reimbursement Request - Extra Page

440-3014 - extra page 05/15

Preferred Worker Program Wage Subsidy Reimbursement Request

440-2968 6/23

Preferred Worker Wage Subsidy Agreement

440-2190 6/23

Preferred Worker Wage Subsidy Agreement (Spanish)

440-2190s 6/23 tr. 6/23

Workers' Compensation Insurer Premium Assessment Report to Department of Consumer and Business Services

440-910 3/22

Reopened Claims Program Reimbursement Request

440-1966 2/16

REPORT OF GROSS ANNUAL INCOME

440-1614 1/08
Disclaimer: These forms may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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