Membership Application

Use the form below to submit your application either by mail or electronically. When you hit continue you will be taken to a confirmation page. You can print the confirmation page and mail it to the address below or just click submit to email the registration.

WCCA
C/O: Tammy Bowers
WCCA
PO Box 1830
Lake Oswego, OR 97035
800-547-9169 extension 3021

WCCA Tax ID 93-1040962
Dues Schedule Company with
1-25 professionals
Company with
26-40 professionals
Company with
41-75 professionals
Company with
76+ professionals
Individual
Membership
Membership Dues $25 $50 $75 $100 $15

To determine your tier: count your Oregon workers’ comp technicians and supporting staff (managers, examiners, assistants, etc), those who manage or process claims, or are otherwise involved with claims management or workers’ compensation (case manager, risk manager, loss control, nurse case manager, vocational rehabilitation, etc).

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