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BEFORE THE WORKERS\' COMPENSATION BOARD STATE OF OREGON In the Matter of the Compensation)) of) )) ALFREDO R. HERNANDEZ, Claimant)WEB Case No. 9710169 Claim No. 7851186J DOI: 11/16/97 CD File No.
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Obtain the necessary forms from your employer or workers' compensation insurance provider.
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Provide all required personal information, including your full name, address, and contact information.
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Document the details of your injury or illness that occurred at work, including the date, time, and location.
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Submit the completed forms to your employer or workers' compensation insurance provider within the designated timeframe.

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Employees who have suffered a work-related injury or illness and are seeking compensation for medical expenses and lost wages.
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In re workers compensation refers to the legal process and proceedings involving workers who have been injured on the job and are seeking compensation for their injuries.
Employers are typically required to file in re workers compensation claims on behalf of their injured employees.
The process of filling out in re workers compensation forms typically involves providing detailed information about the employee's injury, details of the incident, and any medical treatment received.
The purpose of in re workers compensation is to provide financial support and benefits to employees who have been injured on the job, without the need for them to sue their employer.
Information that must be reported on in re workers compensation forms typically includes details of the employee's injury, medical treatment received, and any witnesses to the incident.
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