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Hearing Cancellation & Settlement Notification

If a hearing is scheduled for today or tomorrow, please contact the Administrative Law Judge's assistant directly:
  Salem 503-378-3308
  Portland 971-673-0900
  Eugene 541-686-7989
  Medford 541-776-6217

In all other situations, to report a hearing cancellation/settlement, please enter the following information on this form:
WCB Case Number(s):*
Claimant's Name:*
Name of Submitter:*
Phone Number:* ( )
Your E-Mail Address:*
*Required
 
Settlement Withdrawal* Hearing on written record
*NOTE: Written confirmation is required, with copy to opposing party/attorney.

Hearing Date:
Administrative Law Judge:
Hearing Location:
Interpreter No Yes