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Department of Consumer & Business Services Oregon Insurance Division 5 350 Winter St. NE Salem, Oregon 97301-3883 Phone (503) 947-7983 WORKERS COMPENSATION FORMS RATES FOR ADVISORY LOSS COST MODIFICATION
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What is 3622 form?
The 3622 form is a specific form used for reporting financial information to the appropriate authorities.
Who is required to file 3622 form?
Certain entities or individuals may be required to file the 3622 form based on specific criteria determined by the authorities.
How to fill out 3622 form?
To fill out the 3622 form, you will need to provide accurate financial information as specified in the form's instructions.
What is the purpose of 3622 form?
The 3622 form aims to facilitate the reporting and documentation of relevant financial information.
What information must be reported on 3622 form?
The specific information that must be reported on the 3622 form will be outlined in the form's instructions or guidelines.
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