An official website of the State of Oregon
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Insurers and self-insured employers must notify WCD when switching from one service company to another at least 10 days before the switch by submitting a Claim Move form. They also must report changes in insurer and self-insured employer’s key contact personnel such as names, titles, mailing address, email addresses, fax numbers, and telephone numbers at least 30 days before the effective date of the change. Changes may be reported using the Insurer Contact Update form (Form 5188). Service companies may report changes using the Service Company Contact Update form (Form 5215).
Insurer Registration Team: 503-947-7705 Fax: 503-947-7725
Oregon Division of
Financial Regulation Insurer Licensing: 503-947-7981
Definition of contacts for Form 1352
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