Oregon Application for Self-Insurance

State:
Oregon
Control #:
OR-SKU-1744
Format:
Word
Instant download
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Public form

Description

Application for Self-Insurance Oregon Application for Self-Insurance is an application developed by the Oregon Department of Consumer & Business Services for employers to apply for self-insurance. It is used for employers to indicate their intent to self-insure their workers' compensation liabilities and to provide financial assurance for workers' compensation claims. There are two types of Oregon Application for Self-Insurance: the Standard Application and the Voluntary Application. The Standard Application is required for employers with five or more employees, while the Voluntary Application is used for employers with fewer than five employees. The application requires employers to provide detailed information about their business, including their financial information, business operations, and workers' compensation claims history. The application also requires employers to submit a variety of supporting documents such as a completed financial statement and a workers' compensation loss history. Once the application is approved, employers will need to submit periodic reports to the Oregon Department of Consumer & Business Services.

Oregon Application for Self-Insurance is an application developed by the Oregon Department of Consumer & Business Services for employers to apply for self-insurance. It is used for employers to indicate their intent to self-insure their workers' compensation liabilities and to provide financial assurance for workers' compensation claims. There are two types of Oregon Application for Self-Insurance: the Standard Application and the Voluntary Application. The Standard Application is required for employers with five or more employees, while the Voluntary Application is used for employers with fewer than five employees. The application requires employers to provide detailed information about their business, including their financial information, business operations, and workers' compensation claims history. The application also requires employers to submit a variety of supporting documents such as a completed financial statement and a workers' compensation loss history. Once the application is approved, employers will need to submit periodic reports to the Oregon Department of Consumer & Business Services.

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Oregon Application for Self-Insurance