Oregon Workers' Compensation Division – Appellate Review Unit fax number

Fax destination details

Department

Workers' Compensation Division, Appellate Review Unit (Oregon)

Purpose

Appeals and claim-classification reviews related to workers' compensation. Submit Form 2943, 'Worker Request for Claim Classification Review,' to the Appellate Review Unit (via mail, fax to 503-947-7794, or in person) within 60 days of the insurer's notice; the unit reviews the evidence and issues an Order on Reconsideration if applicable.

Form

Form 2943 — Worker Request for Claim Classification Review

Address

350 Winter Street NE, 2nd Floor, Salem, OR 97301

Voice phone

503-947-7816

Website

Visit organization website

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Complete Form 2943 with worker and claim details; attach the Notice of Refusal to Reclassify and any supporting evidence; submit to the Appellate Review Unit by mail/fax; deadline is 60 days from the date of the insurer's notice.