Get the free Form 440-2476, Request for release of medical - Oregon" - wcd oregon
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You can download Form 2476 from the division s website www. wcd. oregon.gov/policy/bulletins/forms. /s/ John L. Shilts John L. Shilts Administrator Attachment Form 2476 Distribution WCD-S0 LY E-mail lists. Wcd. oregon.gov BULLETIN NO. 281 Rev. March 6 2012 TO All Interested Parties SUBJECT Form 2476 Request for Release of Medical Records for Oregon Workers Compensation Claim This bulletin provides a revised Form 2476. Html. If you have questions...
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What is form 440-2476 request for?
Form 440-2476 request is used to request a specific action or information from a governing body or organization.
Who is required to file form 440-2476 request for?
Anyone who needs to request a specific action or information from a governing body or organization may be required to file form 440-2476 request.
How to fill out form 440-2476 request for?
To fill out form 440-2476 request, you need to provide your personal information, specify the action or information you are requesting, and sign the form.
What is the purpose of form 440-2476 request for?
The purpose of form 440-2476 request is to formalize a request for a specific action or information from a governing body or organization.
What information must be reported on form 440-2476 request for?
The information required on form 440-2476 request may include personal details, the specific action or information being requested, and any supporting documentation.
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