Main Office
1212 Court St NE
Salem, OR 97301
Phone: 503-763-3800
Fax: 503-763-3900
Claims Office
PO Box 1469
Lake Oswego, OR 97035
Phone: 503-763-3875
Fax: 503-763-3901
Legal Office
280 Liberty St SE
Suite 206
Salem, OR 97301
Phone: 503-779-1070
Fax: 503-779-2716
CIS is a member service of the League of Oregon Cities and Association of Oregon Counties
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Workers' Compensation Coverage Application
Self-Assessment Survey
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State of Oregon WCD Endorsement to Self-Insured Group Application
CIS Group Self-insurance Resolution
Sample Volunteer Resolution
Sample Statement of Non-Coverage For Volunteers
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Accident Investigation Form
Employee Work-Related Accident/Incident Analysis Report Form
801 Claim Form
Release to Return to Work Form
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Notice to Physician Letter
Notice of Temporary Light Duty Position
Sample Volunteer Resolution
Volunteer Election Form
Sample Statement of Non-Coverage For Volunteers
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