We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Dcbs Oregon Surcharge Report Form

Get Dcbs Oregon Surcharge Report Form

Oregon.gov Mail report with payment to DCBS Fiscal Services P. O. Box 14610 Salem OR 97309-0445 SURCHARGE INFORMATION See reverse side for instructions.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Dcbs Oregon Surcharge Report Form online

Filling out the Dcbs Oregon Surcharge Report Form online can be a straightforward process if you follow the necessary steps. This guide provides clear and supportive instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the form with ease.

  1. Click ‘Get Form’ button to obtain the Dcbs Oregon Surcharge Report Form. This action will open the form for you to start filling it out.
  2. Begin by entering the month of the report. This is essential for identifying the time frame for the fees being reported.
  3. Fill in the local government submitting the report, including the name, address or P.O. Box, city, and ZIP code. This helps identify the submitting authority.
  4. Provide contact information for a person at your local government. Make sure to include their name, phone number, and any other relevant details.
  5. For section 1, calculate the park and camp fee, which is 15 percent of the total permit fees collected. Enter this amount in the provided field.
  6. Complete section 2 by entering the number of permits issued for manufactured dwellings and cabanas, multiplying this number by $30 to calculate the total fee.
  7. In section 3, input the total inspection and permit fees collected for all categories (plumbing, electrical, structural, and mechanical), applying the appropriate 12 percent surcharge to each total.
  8. Once all calculations are complete, sum the total fees from sections 1, 2, and 3 for the remittance. Ensure this final total is accurately reported.
  9. Review the completed form for accuracy. Make sure all required fields are filled, including the payment method, if applicable.
  10. Finally, save any changes made to the form. You can download, print, or share the completed document as needed for your records or submission.

Complete your Dcbs Oregon Surcharge Report Form online today to ensure timely and accurate reporting.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

2579_BCD_7_09 for pdf - State of Oregon
440-2579 (7/09/COM). Local Government Surcharge Fee Report. Mail report with payment to:...
Learn more
OSB Futures Task Force | Committee Reports...
Attorneys who are suspended, resign Form B, or disbarred from practicing law ... Oregon...
Learn more
BUSINESS READINESS GUIDEBOOK Guide Recreational...
See OLCC forms available at www.marijuana.oregon.gov for more info. Applicants must pay a...
Learn more

Related links form

Blank Newsletter Template Pdf Identification Form Pdf Sbi Gold Loan Application Form Pdf 1017 Form 2020

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

As of Jan. 1, 2022, Oregon has the 10th lowest average workers' compensation rates. Oregon's average rates are 73 percent of the national median rate.

However, the general rule provides that the insurance company obtains your wage records for the 52 weeks prior to the date you were injured. The insurance company then calculates the total wages earned, and divides that amount by the number of weeks (52).

Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information.

​Tell your employer about your work-related injury or illness right away. Fill out Form 801 “Report of Job Injury or Illness” and turn it in to your employer. Your employer should send it to its workers' compensation insurance carrier within five days of your notice.

In 2017, the Oregon Legislature enacted HB 2391, which established a 1.5 percent assessment on the gross amount of premiums derived from health benefit plans delivered or issued for delivery in Oregon.

In 2024, the WBF assessment is 2.0 cents per hour worked Employers report and pay the WBF assessment directly to the state with other state payroll taxes on Form OQ (Oregon Quarterly) on Frances Online.

Authorization to release medical records By signing this form, you authorize health care providers and other custodians of claim records to release relevant records to the workers' compensation insurer, self-insured employer, claim administrator, and the Oregon Department of Consumer and Business Services.

The 2022 Workers Benefit Fund (WBF) assessment rate is 2.2 cents per hour. Go online at https://. oregon.gov/dcbs/cost/Pages/index.aspx for current rate notice.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Dcbs Oregon Surcharge Report Form
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232