Insurer's Report Forms


Form NameInsurer's Report
Form #440-1502
Form Revision4/20
CategoryForms » Insurance
Downloads
Form StateOregon
LanguageEnglish
State DescriptionInsurers report of claim activities:first report of injury,acceptance/denial of claim,aggravations & new condition reopening,MCO enrollment,weekly wage, weekly TTD rate,timeliness of acceptance/denial
Claimwire Descriptionn/a
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