Fillable Education/Work History Form , F3231 - SAIF Corporation
400 High St SE
Salem, OR 97312
Information regarding your work history is required by the Workers' Compensation Division to rate your level of disability and to determine your eligibility for vocational assistance benefits. PLEASE COMPLETE THE FORM AS ACCURATELY AND COMPLETELY AS YOU CAN. (May attach a resume if current.)
Name: ___ Claim number: ___ Address: ___
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