When you submit your request for hearing using the online form an e-mail is sent to the Workers' Compensation Division that contains the information you enter in the form. After you click "submit" you will receive a confirmation page that can be printed, copied, and mailed to the other parties.

Request for hearing - online form



An automated Word 2000® version of the form is available on the Workers' Compensation Division's Forms Web site. See Bulletin 285 and OAR 436-001 (Procedural Rules for Rulemaking and Hearings) for more information.

If you have any questions about using this form, please call the Hearings Coordinator at 503-947-7841.