Oregon Department of Consumer and Business Services, Workers' Compensation Board

Rule Rule 438-005-0055
Notice of Claim Denial and Hearing Rights

(1)

Except for a denial issued under ORS 656.262 (Processing of claims and payment of compensation)(15), in addition to the requirements of 656.262 (Processing of claims and payment of compensation) and OAR 436-001-0600 (Multilingual Help Page) (Bulletin No. 379), the notice of denial shall specify the factual and legal reasons for denial; and shall contain a notice, in prominent or bold-face type, as follows:

(2)

If an insurer or self-insured employer intends to deny a claim under ORS 656.262 (Processing of claims and payment of compensation)(15) because of a worker’s failure to cooperate in the investigation of the claim, in addition to the requirements of 656.262 (Processing of claims and payment of compensation), the notice of denial shall specify the factual and legal reasons for denial, and shall contain a notice, in prominent or bold-face type, as follows:

________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______
________ ____ ____ ______

Source

Last accessed
Jun. 8, 2021