Chapter 416 — Recovery and Reimbursement of Aid
ORS 416.560 Form of notice of lien
The form of the notice required by ORS 416.550
shall be substantially as follows: __________________________________________ Notice is hereby given that the has rendered assistance to , a person who was injured on or about the day of in the city of and State of , and the hereby asserts a lien to the extent provided in ORS 416.510 to 416.610, for
the amount of such assistance upon any amount due and owing (name of injured person) under a judgment, settlement or compromise from alleged to have caused such injuries and from any other person or public body, agency or commission liable for the injury or obligated to compensate the injured person on account of such injuries. Department of Human Services/Oregon Health Authority by , Director of or designee. State of Oregon, ) ) ss. County of ) I, , being first duly sworn on oath say: That I am the Director of or designee; that I have read the foregoing notice of lien and know the contents thereof and believe the same to be true. Subscribed and sworn to before me this day of , . , Notary Public. __________________________________________
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Provenance
2023 Oregon Revised Statutes
Official online edition
- Source
- oregonlegislature.gov
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Version history
Prior statutory text is not available in the ingested published editions. Consult an earlier official ORS edition or the cited Oregon Laws chapter.
2025 Oregon Revised Statutes — official online source · active · operative text
Official source2023 Oregon Revised Statutes · active · operative text
Official source