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Notice of Claim Filed - Form 220

When a person files or restarts a claim, the most recent employer receives a Notice of Claim Filed. 

If a claimant did not work and earn four times the weekly benefit amount from his or her last employer, we will also mail a Form 220 to the next-to-last employer.

When you receive the Form 220:
 
Mail or fax the completed form to the Oregon Employment Department within ten days after the date we mailed the form to protect your appeal rights.
or
Complete the separation information request online at https://www.uisides.org/. 

You will need your Federal Employer ID Number (FEIN), State Business Identification Number (BIN), and the E-Response PIN located at the top of the Form 220 you received. 

For login or PIN problems please call  (503) 947-1685.

Employment Department adjudicators investigate separation and eligibility issues. We rely on you, the employer, for much of our information. Your timely response to this notice entitles you to a decision you can appeal if an issue exists that may affect the person’s eligibility for benefits. If a claimant stopped working for you for any reason other than lack of work, provide details of the separation in the space provided and use the back if necessary. Please be sure your information is correct and true. Willful false statements can result in additional charges against your account.
 
Your response is very important. The facts surrounding an employee’s separation can directly affect your tax rate because we decide to pay or deny benefits based, in part, on this information. Without your response, the Employment Department must make a decision based on available information. Decisions to allow benefits affect all base year employers. Benefit charges may affect tax rates or contributions as a result of a person’s most recent separation.
 
The UI System supports families and keeps businesses open in tough economic times. It is a cornerstone of the US economy. Your UI taxes or contributions support this vital program.

Your prompt and accurate response to the Notice of Claim Filed and other requests for claim information can:

  • Help protect your appeal rights on claims issues
  • Protect the strength of the UI system, by preventing Improper UI Benefit payments
  • Protect your Bottom Line by minimizing your UI Tax Rate or UI contributions