Oregon Workers Comp Form 827: Worker’s and Health Care Provider’s Report for Workers’ Compensation Claims

✓ Verified October 06, 2026

The form 827 oregon is the main report that starts or updates a workers’ comp claim in Oregon. You and your first treating health care provider fill it out together at your first visit. Its full name is the Worker’s and Health Care Provider’s Report for Workers’ Compensation Claims. If you were hurt at work, this form is often the first real step toward getting your medical bills and lost wages covered. The good news is that it is short. In most cases, your provider handles the hardest part.

The short answer: Form 827 is Oregon’s joint report from the injured worker and the health care provider. You fill out the worker section at your first medical visit. Your provider fills out the medical section. Then the provider sends it to the insurer within 72 hours. It tells the insurer you are making a claim and what the doctor found.

What the Form 827 Oregon Is For

The form 827 oregon does two jobs at once. First, it is your claim notice to the insurer. Second, it carries your provider’s first medical report on the injury or illness. Because both parts travel together, the insurer gets your story and the medical facts at the same time. As a result, your claim can move forward without extra back-and-forth.

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The form is also used for more than brand-new claims. For example, it can be used when you change doctors. It can also be used to report a worsened condition on an accepted claim. Typically, the box you check at the top tells the insurer which purpose applies. The Oregon Workers’ Compensation Division publishes the form. Here are the key facts in one place.

Item Details
Form number Form 827
Form title Worker’s and Health Care Provider’s Report for Workers’ Compensation Claims
Who files The worker and the first treating provider, at the first visit
Where it goes The provider sends it to the insurer within 72 hours
Fee No filing fee is charged to the worker (confirm with the agency)
Agency Oregon Workers’ Compensation Division
Official PDF Form 827 official PDF

Who Files the Form 827 Oregon and When

Two people complete the form 827 oregon. You, the worker, fill out and sign the worker section. Your first treating provider fills out the medical section. This usually happens at your very first visit for the work injury. So tell the front desk right away that you were hurt on the job. That way they bring out the right form.

After the visit, the provider does the sending. You typically do not mail it yourself. However, it is smart to ask for a copy for your records. Keep it with your other claim papers. If anything goes wrong later, that copy shows when and how you reported the injury.

Timing rule: The form is completed at your first visit. Your provider must send it to the insurer within 72 hours. Separately, Oregon has its own deadline for telling your employer about an injury. Confirm that exact notice deadline with the Oregon Workers’ Compensation Division and a licensed attorney. Do not wait. Reporting early protects your claim.

You should also tell your employer about the injury, even if you file the form 827 oregon at the doctor’s office. Your employer has its own report to send. To learn the full process, see our guide on how to file a Oregon workers comp claim.

How to Fill It Out and Where to Send It

The worker section asks for basic facts. These typically include your name, contact details, employer, date of injury, and how it happened. Describe the injury in plain words. For example, “I lifted a heavy box and felt sharp pain in my lower back.” Be honest and specific. List every body part that hurts, even if one seems minor. Then sign and date it.

Common mistakes can slow a claim down. In most cases, these are the problems to watch for:

  • Leaving the signature or date blank
  • Checking the wrong purpose box at the top
  • Giving the wrong employer name or injury date
  • Leaving out a body part that was hurt
  • A vague description, like “hurt at work”

As for where it goes, your provider sends the form 827 oregon to the insurer. You do not need to e-file it yourself. You can preview the official Form 827 PDF before your visit. That helps you know what to expect. You can also browse every state form on the Oregon Workers’ Compensation Division forms page.

What Happens After You File

Once the insurer gets the form 827 oregon, it reviews your claim. It may contact you, your employer, or your provider for more facts. The insurer then decides whether to accept or deny the claim. You should receive written notice of that decision. Typically, the notice explains your rights and what to do if you disagree. Confirm the decision timeline with the Oregon Workers’ Compensation Division.

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If you have questions or feel stuck, you are not alone. The Oregon Workers’ Compensation Division can explain the process. You can also learn more about the Oregon workers comp board and how disputes are handled. To check whether your job is covered at all, see Oregon workers comp requirements. Every case is different, so confirm any deadline with the agency and a licensed attorney before acting.

Frequently Asked Questions About Form 827 Oregon

Do I have to mail the form 827 oregon myself?

In most cases, no. Your first treating provider sends it to the insurer within 72 hours. However, ask for a copy so you have proof of when you reported the injury.

Does it cost anything to file Form 827?

No filing fee is charged to the worker for this form. Your provider completes and sends it as part of your care. If anyone asks you to pay to file it, check with the Oregon Workers’ Compensation Division.

Can I use the form 827 oregon if I change doctors?

Yes, the form is typically used for more than new claims. It can also report a change of provider or a worsened condition. Check the purpose box carefully, and confirm the right use with the agency.

Bottom line: The form 827 oregon is a short, shared report that gets your claim moving. Tell your provider it is a work injury at your first visit, fill out your section honestly, and keep a copy. Then confirm any deadlines with the Oregon Workers’ Compensation Division and a licensed attorney so your claim stays on track.

Form 827 oregon: Quick Recap

If you remember one thing about form 827 oregon, make it this: the rule is set by the state (or the federal program), not by the insurer, and the official source is linked above. Every figure on this page about form 827 oregon should be confirmed with the agency before you act on it.

Questions about form 827 oregon that this page does not answer are usually answered for free by the state workers’ comp agency’s information line — and, for a disputed claim, by a licensed attorney in a first consultation.

See your state’s exact numbers

What you are owed depends on your state’s benefit caps and deadlines. Start with your state’s settlement and claim guides for the exact figures.

Find Your State’s Workers Comp Guide →

Sources & How to Verify

The figures on this page come from official government and industry sources. Workers’ comp benefit caps, deadlines, and rules change, so always confirm the exact figure with your state’s workers’ comp board or a licensed attorney before acting. Settlement estimates are illustrative, and every case is different.

  • Your state workers’ comp board, division, or commission: the official source for your state’s exact caps, deadlines, and forms — search “[your state] workers compensation board”
  • U.S. Department of Labor (OWCP): dol.gov — federal workers’ compensation overview
  • NCCI: ncci.com — workers’ comp rating and benefit data
  • Social Security Administration: ssa.gov — benefit-cap and SSDI offset data
  • Insurance Information Institute: iii.org — neutral workers’ comp background

Content last reviewed October 2026. If you notice an outdated figure, please contact us.

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