Worker Request for Reconsideration Forms
| Form Name | Worker Request for Reconsideration |
| Form # | 440-2223a |
| Form Revision | 1/24 |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Request by the worker that a claim closure be reconsidered; disputed issues include premature closure, medically stationary date, temporary disability dates, medical impairment findings... |
| Claimwire Description | n/a |