Notice of Closure Forms
| Form Name | Notice of Closure |
| Form # | 440-1644 |
| Form Revision | 5/24 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Insurer's or self-insured employer's notice to the worker (and other parties) of claim closure, extent of benefits such as time-loss and permanent disability, and appeal rights. |
| Claimwire Description | n/a |