Workers' Compensation information and forms for the state of OR

Worker’s Compensation Insurance can seem complicated to administer. There are many forms and various specific state regulations concerning postings and employee notification. To get the help you need to ensure employees understand coverage’s and how to report a work place injury select the link located below.

• 221-10000 – Claim Kit Cover Letter
  Letter from The Hanover welcoming the employer to the insurance plan, includes instructions for claim reporting and creating medical provider panels.
• 221-10001 – Take Control of Workers' Compensation Costs
  This guidance will help ensure the best outcome for you and your employees following a work related injury.
• WC9552c – Report of Injury or Illness
  This form is completed by the employer to report an on the job injury or accident involving an employee.
• WC9188d – Report of Injury or Illness (Spanish)
  This form is completed by the employer to report an on the job injury or accident involving an employee.
• WC8886f – A Guide for Workers Recently Hurt on the Job (English)
  To be provided to an injured worker at the time of a work related injury.
• WC9259e – A Guide for Workers Recently Hurt on the Job (Spanish)
  To be provided to an injured worker at the time of a work related injury.
• WC9953a – A Guide for Workers Recently Hurt on the Job (Russian)
  To be provided to an injured worker at the time of a work related injury.
• WC9954a – A Guide for Workers Recently Hurt on the Job (Vietnamese)
  To be provided to an injured worker at the time of a work related injury