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Fillable SAIF Corporation 801 Claim Form

Description

Workers compensation claim Worker To make a claim for a work-related injury or illness fill out the worker portion of this form and give to your employer. If you do not intend to file a workers compensation claim with SAIF Corporation do not sign the signature line. What if I have questions about my claim SAIF Corporation or your employer should be able to answer your questions. Shift CC 400 High St. SE Salem OR...
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