Notice of Closure: Own Motion Claim Forms
| Form Name | Notice of Closure: Own Motion Claim |
| Form # | 440-2066 |
| Form Revision | 2/16 |
| Category | Forms » Legal/Fraud |
| 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 and extent of benefits due under the own motion claim reopening. |
| Claimwire Description | n/a |