Notice of Voluntary Reopening Own Motion Claim Forms
| Form Name | Notice of Voluntary Reopening Own Motion Claim |
| Form # | 440-3501 |
| Form Revision | 2/16 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Insurer's notice to worker, worker's representative (if any), and the Workers' Compensation Division that the worker's claim has been reopened for provision of benefits under ORS 656.278. |
| Claimwire Description | n/a |