The Oregon Application to become a Self-Insured Employer is a document that must be completed and submitted to the Oregon Self-Insurance Program with all required documentation in order to be approved for self-insurance status. This application must be completed and submitted by employers who wish to become self-insured in the State of Oregon. The application includes two parts: the Application for Self-Insurance and the Financial Information Form. The Application for Self-Insurance requires employers to provide detailed information such as contact information, type of business, business structure, number of employees, and a description of the business operations. The Financial Information Form requires employers to provide their financial statements including income statements, balance sheets, and cash flow statements. There are two types of Oregon Application to become a Self-Insured Employer: the standard Self-Insurance Application and the Large Group Self-Insurance Application. The standard Self-Insurance Application is available for employers with fewer than 100 employees, while the Large Group Self-Insurance Application is available for employers with more than 100 employees. Both applications must be completed and submitted with the required supporting documentation.