Workers' Compensation Claim Form 801

Back to Administration
If medical treatment is sought for the injured employee, Form 801 is required to be filled out by the employee, then turned in to Personnel for completion. Personnel will submit the form to Health Future LLC for evaluation and determination of acceptance or denial. Click below to download the form.

Online City Services

Pay Your Utility Bill with Customer Central
Connect to
Ashland Fiber Network
Request Conservation
Evaluation
Proposals, Bids
& Notifications
Request Building
Inspection
Building Permit
Applications
Apply for Other
Permits & Licenses
Register for
Recreation Programs

©2018 City of Ashland, OR | Site Handcrafted in Ashland, Oregon by Project A

Quicklinks

Connect

Share

twitter facebook Email Share
back to top