Insurer Request for Reconsideration Forms


Form NameInsurer Request for Reconsideration
Form #440-2223b
Form Revision1/24
CategoryForms » Insurance
Downloads
Form StateOregon
LanguageEnglish
State DescriptionRequest by the insurer for reconsideration of impairment findings used to determine permanent disability.
Claimwire Descriptionn/a
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