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Filing a claim

Filing a claim

  • Tell your employer right away about your injury.
  • Fill out a Form 801 and turn it in to your employer.
    • You can print out a form here or ask for one from your employer.
    • Your employer must turn it in to the insurer within five days of being notified of your injury.
  • If you go to the doctor after your injury, let your doctor know it is a work-related injury.
    • You and the doctor should complete Oregon Form 827.
    • Medical providers must turn in the form to the insurer within three working days.
  • To determine your eligibility for additional time-loss benefits, you must notify the insurer of your secondary job(s) within 30 days of the insurer’s receipt of the initial claim.
  • The insurer has 60 days from the day you file the 801 claim form with your employer to accept or deny your claim.
  • If your claim is accepted, the insurer will send a Notice of Acceptance listing the medical conditions accepted.
  • If your claim is denied, the insurer will send you a letter explaining why it was denied and what your appeal rights are.

Workers’ compensation flow chart


800-452-0288 (toll-free)

Para información en español


Appealing a closed claim

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