Worker Leasing Termination Notice (Cancels a client's proof of coverage) Forms
| Form Name | Worker Leasing Termination Notice (Cancels a client's proof of coverage) |
| Form # | 440-3271 |
| Form Revision | 8/18 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Worker leasing company's notice to client and WCD that the leasing company will no longer provide coverage for workers provided to the client and other subject workers of the client. |
| Claimwire Description | n/a |