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Payroll forms

Whatever your interaction with OSPS, you're likely to hear the phrase, "we have a form for that."

The necessity to document formalized requests for OSPS services and OSPA system modifications means we need most communication in writing. Standardized forms speed along the service process as they ensure all necessary information is captured at one time.

You can filter and sort this list of forms by "form number", "form name" or "modified​".  

OSPS.99.07ACH stop/ reversal request
Stop an ACH electronic deposit - payroll
4/18/2016 1:45 PM
75.45.01.FOAuthorized OSPA signatures
3/17/2016 9:07 AM
Board Member QuestionnaireBoard Member Questionnaire

​Board member information required to determine eligibility to received per diem payments through DAS Payroll Services.

5/31/2018 10:50 AM
OSPS.99.23Cancel an OSPS issued check
Cancel a check (employee or payroll vendor)
Return check previously reported as lost
Rewrite a vendor check
Send back a check (payroll vendor or employee)
4/13/2020 2:12 PM
OSPS.99.27Code request form (except for garnishments)
Add a pay code to a benefit package
Get a new code (work schedule, pay type)
1/19/2016 2:59 PM
OSPS.99.12Corrected W2

Used by agency payroll to request corrected W-2

2/14/2022 5:10 PM
Workday LoginDirect deposit form (OSPS.99.25) has been replaced

The Direct Deposit form is now available for all employees via their Workday Payroll profile

5/12/2022 2:45 PM
OSPS.99.16Early paycheck release form

​Release a paycheck early

5/24/2016 1:50 PM
OSPS.99.30Electronic access request form
Access online electronic reports
10/19/2017 7:12 AM
75.45.02.FOEmergency pay advance request
Pay advance request
1/19/2016 2:56 PM
75.45.02.FO.AGYEmergency pay advance request - agency wrapper
Pay advance request
2/9/2016 3:12 PM
OSPS.99.01Foreign national residency determination
Resident alien status determination
6/14/2016 11:49 AM
OSPS.99.22Forged check affidavit
1/19/2016 2:38 PM
OSPS.99.33Garnishment code request form
Garnishment code request
7/21/2016 10:50 AM
OSPS.99.03Lost check replacement form

​Replace a lost check - under $50 or more than 90 days old

1/19/2016 3:02 PM
Oregon W4Oregon W-4 Employee's Withholding Allowance Certificate (DOR)

​Used by employee's to change their tax withholding allowances within Workday for the the State of Oregon. 

1/27/2022 2:46 PM
OSPS.99.28OSPA system transaction entry request

​Request OSPS to enter transactions on agency's behalf.

1/19/2016 3:07 PM
OSPS.99.19Pay card form (sign up or cancel)

​Set up, change or cancel enrollment for pay card for direct deposit.

7/8/2020 2:12 PM
OSPS.99.24Payment notification form

Pay back a negative (employee or vendor)
Return an overpayment
Self-pay insurance premiums
Send payment to OSPS

1/19/2016 3:05 PM
OSPS.99.26Payroll historic record access request

​Research old payroll records

7/14/2016 3:35 PM
Paystub Calculator DPTPaystub Calculator DPT
10/5/2022 12:28 PM
C27StopPayStop payment notification
Replace a lost check - over $50 and less than 90 days old
7/16/2020 3:45 PM
OSPS.99.13Tax refund certification

Document employee's choice for receiving a refund of social security and Medicare taxes resulting from a corrected W-2.

1/19/2016 3:08 PM
OSPS 99.04W-2 reprint/ reissued statement request

​Reissue a W-2 tax statement

1/15/2021 1:23 PM
Federal W4W-4 Employee's Withholding Allowance Certificate (IRS)

​Used by employee's to change their tax withholding allowances with payroll.

1/21/2022 2:14 PM


OSPS pdf forms take advantage of the JavaScript language in order to add functionality. Many of these scripts will perform calculations, allow users to submit forms via e-mail, and alert users to missing data that must be provided. To activate JavaScript in Adobe Reader 

    1. Right click on the open document in your web browser.

    2. Select Page Display Preferences…

    3. At the dialog box on the left side under Categories: select JavaScript

    4. ​On the right pane of the Preferences dialog box JavaScript category, place a check in the box Enable Acrobat JavaScript.

"Submit by email" button

The "Submit by email" button will remain read-only until you place a valid email address in the field provided and tab or mouse click outside that field.​

Other payroll and benefit forms​

The following links belong to other payroll-related entities. These links are provided for your convenience (the content is not controlled by OSPS​). 

Parking forms

PEBB forms

PERS forms 

Treasury Direct/savings bonds​