Announcement Of CDA Approval Order
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Announcement Of CDA Approval Order Form. This is a Oregon form and can be use in Hearings Workers Comp.
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Tags: Announcement Of CDA Approval Order, Oregon Workers Comp, Hearings
Please find attached a camera-ready copy of the Workers’
Compensation Board’s Claims Disposition Agreement (CDA)
postcard on 8-1/2” x 11” paper, showing the Board’s prescribed
format, as well as a completed postcard.
The size of the postcard is 4” x 6” on 100 to 110 lb. card stock.
You may use any color paper (except red because postmarks
do not show up on red postcards), and you may add any internal
information you need to the postcard as long as the Board’s
prescribed format and size are followed.
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Before the Workers' Compensation Board of The State of Oregon
In the Matter of the Compensation
of
,
)
)
)
)
)
)
CDA No: ______________________
(for office use only)
Claim No: ______________________
Announcement of CDA Approval Order
(Name)
On
, the Board approved the parties' claim disposition agreement
(original/amended). Payments shall be made in accordance with the agreement.
The Board's decision is final and is not subject to review. ORS 656.236(2).
Workers' Compensation Board
by __________________________
CDA Unit
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WORKERS COMPENSATION BOARD
2601 25TH ST SE STE 150
SALEM OR 97302-1280
To:
______________________________________
(Name)
______________________________________
(Mailing Address)
______________________________________
(Mailing Address)
______________________________________
(City, State, Zip)
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