Order Forms
Forms for filing payroll taxes by paper cannot be downloaded. They must be ordered from the Employment Department.
Order forms
- 2019 Domestic Combined Tax Reporting Instruction Booklet2019 Payroll tax reporting instructions for Oregon domestic employers.
- 2020 Combined Payroll Tax Reporting Instruction Booklet2020 Payroll tax reporting instructions for Oregon employers.
- 2020 Domestic Combined Tax Reporting Instruction Booklet2020 Payroll tax reporting instructions for Oregon domestic employers.
- 2020 Domestic Plain Paper SpecificationsSpecifications for the plain paper format of the Form OA and Form 132 Domestic Employee Detail Report.
- 2020 Employer's Filing Due Dates and Misc Contact Information (UI Pub 139)This informational flyer provides employer's filing due dates and miscellaneous contact information.
- 2020 Plain Paper SpecificationsSpecifications for the plain paper format of the Form OQ, Schedule B, and Form 132 Employee Detail Report.
- 2021 Combined Payroll Tax Reporting Instruction Booklet2021 payroll tax reporting instructions for Oregon employers.
- 2021 Plain Paper SpecificationsSpecifications for the plain paper format of the Form OQ, Schedule B, and Form 132 Employee Detail Report.
- Agricultural Employers (UI Pub 210)Payroll tax information pertaining to agricultural employers.
- AMENDED REPORT: Form 132 Use the Form 132 Amended Report to make adjustments to wages and hours reported on Form 132. Use this form even if you filed the original report electronically.
- AMENDED REPORT: Form OQ/OA AmendedUse the Form OQ/OA Amended Report to make adjustments to taxes reported on Form OQ or OA (Domestic) reports. Use this form even if you filed the original report electronically.
- AMENDED REPORT: Instructions for Form 132 AmendedInstructions on how to use the Form 132 Amended.
- AMENDED REPORT: Instructions for Form OQ/OA AmendedInstructions on how to use Form OQ/OA Amended.
- AMENDED REPORT: Notice of SSN Change/Correction FormUse this form in notify the Department of SSN corrections or changes necessary for your payroll tax reporting.
- AMENDED REPORT: Schedule B Amended
- Authorization for Electronic Deposit (Form 117H2)Use this form to authorize the Oregon Employment Department to electronically deposit your unemployment or Work Share benefits into your checking or savings account.
- Authorization for Tax Withholding (Form 1040WH)This document is used by unemployment insurance claimants to authorize the withholding of taxes from their unemployment insurance benefit payments.
- Business Change in Status (Form 013)Use this form to update business status such as entity changes, ownership changes, name changes, etc.
- Business Contact Change FormUse this form to update your business contact information. This includes address and phone number updates, and offsite payroll service/accountant/bookkeeper updates.
- Change in Business Entity (UI Pub 212)This informational flier covers the topic of status changes employers need to report and how to report them.
- Claim Calendar 2018 (UI Pub 173)Use this publication to follow your base year eligibility and claim year.
- Claim Calendar 2019 (UI PUB 173)Use this publication to follow your base year eligibility and claim year.
- Claim Calendar 2020 (UI Pub 173)Use this publication to follow your base year eligibility and claim year.
- Claim Calendar 2021 (UI Pub 173)Use this publication to follow your base year eligibility and claim year.
- Combined Employer's Registration (Form 055)Use this form to register your business for Combined Payroll Tax Reporting purposes. You can also register online with the Central Business Registry (CBR) at http://sos.oregon.gov/business/Pages/register.aspx.
- Domestic Employers (UI Pub 207)This informational flier covers payroll topics for domestic employers only. The definition of a domestic employer is included in this flier.
- Employer Rights & Responsibilities (UI Pub 215)This informational flier covers your rights and responsibilities as an employer subject to Unemployment Insurance law in Oregon.
- Employer, Employee and Wages (UI Pub 205)This informational flier covers definitions related to employers, employees and wages as they pertain to Employment Department law.
- Employment Search Record (Form 2554)Use this form to record your work seeking activities for each week that you claim benefits.
- ETA 9061 - EnglishThis is the US Department of Labor Employment and Training Administration Individual Characteristics Form (ICF) for the Work Opportunity Tax Credit.
- ETA Form 9061-SpanishEste es el Formulario de Características Individuales de la Administración de Empleo y Capacitación del Departamento de Trabajo de los Estados Unidos (ICF) para el Crédito Tributario de Oportunidad de Trabajo.
- ETA Form 9175This is the long-term unemployment recipient self-attestation form from the U.S. Department of Labor. Use this form to affirm you have been unemployed at least 27 consecutive weeks.
- Excess Wage Computation (UI Pub 217)This informational flier covers the taxable wage base and how excess wages are defined for employers.
- Experience Rating Benefit Ratios for 2018 (UI Pub 8)This table shows the benefit ratio groups and the assigned tax rates for 2018.
- Experience Rating Benefit Ratios for 2019 (UI Pub 8)This table shows the benefit ratio groups and the assigned tax rates for 2019.
- Experience Rating Benefit Ratios for 2020 (UI Pub 8)This table shows the benefit ratio groups and the assigned tax rates for 2020.
- Experience Rating Benefit Ratios for 2021 (UI Pub 8)This table shows the benefit ratio groups and the assigned tax rates for 2021.
- Form 1695-Archived Work Share ApplicationOlder version of Work Share Form 1695
- Form 1696-Archived Work Share Participant ListOlder version of Work Share Form 1696, an Excel Spreadsheet for employer to list and/or modify all affected employees participating in the Work Share plan.
- Form 1698-Archived Work Share Weekly Certifacation FormOlder version of Work Share Form 1698, an Excel Spreadsheet for employee's weekly certification to claim Work Share benefits.
- Form 385-E
- Hours and Estimating Hours Worked (UI Pub 211)Use the following guidelines to help you estimate hours worked if your payroll system does not track hours.
- How UI Tax Rates Are Determined (UI Pub 214)This informational flier explains how payroll tax rates are assigned in accordance with Oregon law, and how the benefit ratio is calculated.
- Independent Contractors (UI Pub 201A)This is an informational flier that covers the topic of Independent Contractors.
- IRS Form 8850 (Pre-Screening Notice and Certification Request)Internal Revenue Service form Pre-Screening Notice and Certification Request for the Work Opportunity Credit.
- Multi-state Employment (UI Pub 209)This informational flier covers the topic of employees who perform services in Oregon as well as in other states, and how this applies to reporting payroll taxes.
- Nonprofit Employers (UI Pub 206)This informational flier covers topics related to nonprofit employers.
- Notice of Election FormNotice of Election to cover employees not covered by
Oregon Employment Department law.
- Permanent Work Share RuleThe Oregon Employment Department adopted a new Administrative Rule for the Work Share program, effective August 1, 2016.
- Petition for Trade Adjustment Assistance (TAA) and Alternative Trade Adjustment Assistance (ATAA)Trade Adjustment Assistance (TAA) provides assistance to
workers in firms hurt by foreign trade. Filing this petition is the first step in qualifying for benefits and assistance.
- Questions and Answers about UI Tax Audits (UI Pub 203)This informational flier answers common questions regarding Payroll Tax audits.
- Release of Information Authorization - English - Form 1826Use this form to allow designated individuals to request your information from the Oregon Employment Department.
- Release of Information Authorization - Russian - Form 1826Используйте эту форму , чтобы лица, назначенные просить вашу информацию от Департамента занятости Орегон .
- Release of Information Authorization - Spanish - Form 1826Utilice este formulario para permitir que las personas designadas para solicitar la información del Departamento de Empleo de Oregón .
- Release of Information Authorization - Vietnamese - Form 1826Sử dụng mẫu này để cho phép cá nhân được yêu cầu thông tin của bạn từ Bộ Việc làm Oregon .
- Request for Determination of Entitlement to Trade Act Benefits and Services
- Restaurant and Bar Industry (UI Pub 202)This is an informational flier that provides general information on certain types of employment and compensation in the restaurant and bar industry.
- RUSSIAN: Employment Search Record (Form 2554)Use this form to record your work seeking activities for each week that you claim benefits.
- RUSSIAN: Independent Contractors (UI Pub 201A)This is an informational flier that covers the topic of Independent Contractors.
- Self Employment Weekly CertificationWeekly Claim Form to be used when participating in the Self Employment Assistance (SEA) Program. This form must be submitted each week.
- SPANISH: Agricultural Employers (UI Pub 210)Payroll tax information pertaining to agricultural employers.
- SPANISH: Authorization for Electronic Deposit (Form 117H2)Use this form to authorize the Oregon Employment Department to electronically deposit your unemployment and Work Share benefits into your checking or savings account.
- SPANISH: Change in Business Entity (UI Pub 212)This informational flier covers the topic of status changes employers need to report and how to report them.
- SPANISH: Domestic Employers (UI Pub 207)This informational flier covers payroll topics for domestic employers only. The definition of a domestic employer is included in this flier.
- SPANISH: Employer Rights & Responsibilities (UI Pub 215)This informational flier covers your rights and responsibilities as an employer subject to Unemployment Insurance law in Oregon.
- SPANISH: Employer, Employee and Wages (UI Pub 205)This informational flier covers definitions related to employers, employees and wages as they pertain to Employment Department law.
- SPANISH: Employment Search Record (Form 2554)Use this form to record your work seeking activities for each week that you claim benefits.
- SPANISH: Excess Wage Computation (UI Pub 217)This informational flier covers the taxable wage base and how excess wages are defined for employers.
- SPANISH: Family Corporate Officer Exclusion Request (Form 2578)Requests for Family Corporate Officer Exclusion (Form 2578) cannot precede a Combined Employer's Registration (Form 055). We will accept and process both forms concurrently.
- SPANISH: Hours and Estimating Hours Worked (UI Pub 211)Use the following guidelines to help you estimate hours worked if your payroll system does not track hours.
- SPANISH: Independent Contractors (UI Pub 201A)This is an informational flier that covers the topic of Independent Contractors.
- SPANISH: Multi-state Employment (UI Pub 209)This informational flier covers the topic of employees who perform services in Oregon as well as in other states, and how this applies to reporting payroll taxes.
- SPANISH: Nonprofit Employers (UI Pub 206)This informational flier covers topics related to nonprofit employers.
- SPANISH: Petition for Trade Adjustment Assistance (TAA) and Alternative Trade Adjustment Assistance (ATAA)Trade Adjustment Assistance (TAA) provides assistance to
workers in firms hurt by foreign trade. Filing this petition is the first step in qualifying for benefits and assistance.
- SPANISH: Questions and Answers about UI Tax Audits (UI Pub 203)This informational flier answers common questions regarding Payroll Tax audits.
- SPANISH: Request for Determination of Entitlement to Trade Act Benefits and Services
- SPANISH: Restaurant and Bar Industry (UI Pub 202)This is an informational flier that provides general information on certain types of employment and compensation in the restaurant and bar industry.
- SPANISH: Tax Authorization Representative FormThis form allows the Employment Department to disclose your company’s confidential tax information to your designee. You may designate a person, agency, firm or organization.
- SPANISH: Volunteers (UI Pub 176)This informational flier explains the definition of volunteer as it pertains to Unemployment Insurance law.
- SPANISH: Work Share Application (Form 1695)Application form for employers to file for consideration into the Work Share program.
- SPANISH: Work Share Brochure- UI Pub 062
- SPANISH: Work Share Handbook (UI Pub 350WS)The Work Share Handbook contains general instructions and basic information to claim Unemployment Insurance Work Share benefits.
- SPANISH: Work Share Weekly Certifications (Form 1698) ExcelNew Excel Spreadsheet for employee's weekly certification to claim Work Share benefits.
- Spanish:Authorization for Tax Withholding Form-1040WHAuthorization form allowing the Oregon Employment Department to withhold funds from unemployment insurance benefits for state or federal tax purposes. Also can be used to have the department stop withholding funds.
- Tax Authorization Representative FormThis form allows the Employment Department to disclose your company’s confidential tax information to your designee. You may designate a person, agency, firm or organization.
- Training Unemployment Insurance (TUI) ApplicationTraining Unemployment Insurance (TUI) allows eligible dislocated workers to attend school and receive Unemployment Insurance benefits at the same time. Filing this application is the first step in requesting approval to participate in this program.
- Unemployment Insurance Benefits - Request for a Hearing
- Unemployment Insurance Benefits - Request for a Hearing (Spanish)
- VA 21-0845 (Veteran Affairs Disclosure Authorization Form)Use this form if you want to give the Department of Veterans Affairs permission to release your personal beneficiary or claim information to a third party.
- VIETNAMESE: Employment Search Record (Form 2554)Use this form to record your work seeking activities for each week that you claim benefits.
- VIETNAMESE: Independent Contractors (UI Pub 201A)This is an informational flier that covers the topic of Independent Contractors.
- Volunteers (UI Pub 176)This informational flier explains the definition of volunteer as it pertains to Unemployment Insurance law.
- Weekly Trade Act Benefit Request-In Training
- Weekly Trade Act Benefit Request-In Training (Spanish)
- Weekly Trade Act Benefit Request-Not in Training (Spanish)
- Work Share Brochure- UI Pub 062
- Work Share HandbookThe Work Share Handbook contains general instructions and basic information to claim Unemployment Insurance Work Share benefits.
- Work Share Intial Claim form - English (pub 1697)
- Work Share Intial Claim form - Spanish (pub 1697)