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The Workers' Compensation Benefits Policy provides and overview of how the City’s Workers’ Compensation program operates. Notice to Employees - Injuries Caused By Work ATTACHMENTS: Industrial Injury Medical Panel Predesignation of Personal Physician Statement to Treating Physician Worker's Comp Claim Form Employers Report of Occupational Injury or Illness - Form 5020 Workers Comp FAQ’s Workers Comp...

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Mail your check to: City of Springfield P.O. Box 123 Springfield, OR 12345 All checks must me made payable to “City of Springfield” and include the invoice number in the memo. For additional assistance, please call 1-800-123-1234.

Mail your check to: City of Springfield P.O. Box 123 Springfield, OR 12345 All checks must me made payable to “City of Springfield” and include the invoice number in the memo. For additional assistance, please call 1-800-123-1234.

Mail your check to: City of Springfield P.O. Box 123 Springfield, OR 12345 All checks must me made payable to “City of Springfield” and include the invoice number in the memo. For additional assistance, please call 1-800-123-1234.

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