Get Or Wcd 440-2466 2013-2025

Filling out the OR WCD 440-2466 form is an important step for those seeking a worker leasing license in Oregon. This comprehensive guide will walk you through each section of the form, ensuring that you understand the requirements and can confidently complete the application online.

Follow the steps to successfully complete your online application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, begin by entering the name of the applicant — the entity applying for the worker leasing license. Then, provide the mailing address where correspondence should be directed, ensuring it is accurate and complete.
3. Next, fill in your telephone number and federal tax ID. Specify the business type such as corporation or partnership, and include the state and date of incorporation or formation.
4. Provide the Oregon Registry number as well as the Oregon Business ID number, which can be obtained from the appropriate state departments.
5. Identify the principal place of business in Oregon, including its street address, city, state, and ZIP code. This is crucial for record-keeping purposes.
6. List any assumed business names registered with Oregon's Secretary of State.
7. Include information regarding your workers’ compensation insurance coverage, specifying the name of the insurer and the policy number.
8. Designate authorized representatives for your Oregon business, providing names, contact numbers, and email addresses for all relevant personnel.
9. Detail any states where the applicant operates as a leasing company and submit supporting documentation as required.
10. Attach letters of verification of tax compliance from the relevant tax departments, using the specified attachments.
11. Outline a plan of operation demonstrating compliance with occupational safety and health requirements, ensuring to include training plans for employees.
12. Document how the company will report information to establish each client's experience rating for workers’ compensation.
13. Present a plan ensuring timely and accurate filing of notices to the insurer when workers’ compensation coverage is provided.
14. Finally, complete the affidavit of the applicant, ensuring all information is truthful, and sign it. Remember to have it notarized as required.
15. For Section 2, repeat the necessary steps for each controlling person involved in the business, providing similar detailed information as listed above.
16. Once all sections are completed, you may save your changes, download, print, or share the form as needed.

Start filling out your OR WCD 440-2466 application online today to ensure you meet all necessary licensing requirements.