Request For Workers Compensation Division Claim File Information {3088}

3088 - REQUEST FOR WORKERS' COMPENSATION CLAIM RECORDS. This form is used for requesting workers' compensation claim records from the Workers' Compensation Division of the Oregon Department of Consumer and Business Services. It is used by various parties including insurers, self-insured employers, service companies, attorneys, workers, or governmental agencies involved in processing claims or carrying out their duties. The requester provides their name, company name, contact details, and specifies the identity of the requester (e.g., insurer, worker, other governmental agency). If known, the form also includes specific worker and claim information such as name, date of birth, WCD file number, social security number, date of injury, and insurer claim number. Requesters can choose from several types of records, including claim history, the entire claim file, certified records for reconsideration or director's classification review orders, or specify other records needed. The requester certifies their eligibility under Oregon laws and regulations governing access to workers' compensation claim records. The completed form should be sent to the Workers' Compensation Division, either by mail, fax, or email, as indicated on the form. www.FormsWorkflow.com