Notice Of Closure {1644}

1644 - NOTICE OF CLOSURE. This form form is used by workers’ compensation insurers in Oregon to inform an injured worker that their claim is being closed. The closure is based on a review of medical and other relevant information about the worker’s compensable injury and reflects a determination of the extent of the worker’s temporary or permanent disability. This form applies specifically to the most recent period during which the claim was open. It includes important information such as the date of injury, the date the worker became medically stationary (or another qualifying closure reason), and the end date for the worker’s aggravation rights. The notice advises the worker of their right to appeal the closure decision by requesting reconsideration within 60 days of the mailing date. It outlines how permanent disability awards are calculated and paid, including options for lump-sum payments and the consequences of accepting such payments. The form also provides details about the availability of vocational assistance and future medical benefits, with contact information for resources such as the insurer, the Oregon Workers’ Compensation Division, and the Ombuds Office for Oregon Workers. If applicable, beneficiaries of the injured worker may also have the right to appeal the closure. www.FormsWorkflow.com