Ana Contreras
503-947-7523
Order publications/ forms -
business tools
Order publicationsAll WCD publications are available on our Web site. If you would like to order paper copies, use this online form to order publications at no charge; although quantities of some forms are limited.
Order Notice of Compliance PostersAll employers in Oregon who are required to provide workers' compensation coverage must display a Notice of Compliance poster. Use this form to order additional copies of the Notice of Compliance poster.
Affidavit request formWhen you need notarized information on workers’ compensation coverage dates for an employer, use this form.
Request for hearing form
OAR 436-001-0019 prescribes the requirements for requesting a hearing. Use of Form 2839 is optional. However, completion of this form ensures your request is complete.
If you have questions about the information contained in this document, please contact
Ana Contreras, 503-947-7523.
Get Adobe Acrobat Reader
Adobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe. Available for Macintosh or Windows.
