Workers’ Compensation Division Request for Hearing Forms
| Form Name | Workers’ Compensation Division Request for Hearing |
| Form # | 440-2839 |
| Form Revision | (3/23) |
| Category | Forms » Legal/Fraud |
| Downloads | |
| Form State | Oregon |
| Language | English |
| State Description | Used by parties to request a hearing before the DCBS Director regarding palliative care disputes, medical fee and service disputes, vocational assistance disputes, and other issues. |
| Claimwire Description | n/a |