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Attachment C to Application for Oregon Worker Leasing License

State:
Oregon
Control #:
OR-SKU-1767
Format:
PDF
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Description

Attachment C to Application for Oregon Worker Leasing License

Attachment C to Application for Oregon Worker Leasing License is a form used by employers who are seeking to obtain a Worker Leasing License from the state of Oregon. This form is used to provide documentation of the employer’s financial responsibility and ensure that the employer is able to pay all wages and payroll taxes due to leased workers, as required by the Oregon Bureau of Labor & Industries. There are two versions of Attachment C to Application for Oregon Worker Leasing License: * Attachment C-1: Financial Responsibility — Business Owners. This form is used by employers who are not incorporated and who are responsible for the wages and payroll taxes associated with leased workers. * Attachment C-2: Financial Responsibility — Corporations. This form is used by employers who are incorporated and who are responsible for the wages and payroll taxes associated with leased workers.

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FAQ

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. Your employer should provide you this form.

Ing to Oregon state law, all employers who have one or more employees, including full- or part-time employees, must have workers' comp insurance. Independent contractors, sole proprietors, corporate officers with at least 10% ownership of the company, and LLC members are not legally required to be covered.

Your employer must send your workers' compensation claim (Form 801) to its insurer within five days of being notified of your injury. It is illegal for employers to do anything to keep employees from filing claims.

This bulletin provides updated benefit rates based on the Oregon state average weekly wage. This bulletin replaces Bulletin No. 111 dated . July 1, 2023, through June 30, 2024, the SAWW used to compute workers' compensation benefits is $1,295.86.

Ordinarily, exempt contractors are businesses that do not have employees. These businesses do not need workers' compensation insurance. Non-exempt contractors are businesses that hire or lease employees. These businesses need workers' compensation insurance.

The weekly payment minimum is $50 or 90 percent of the employees actual wage if it is less. The weekly maximum is $790.38, 100% of the Oregon state average weekly wage. Maximum period of payments is the length of the disability.

Once the insurer calculates your average weekly wage, it will pay you 2/3rds of that amount in time loss. Time loss is paid every two weeks. You do not pay taxes on these payments. If you have more than one job when you are injured, you must tell the insurer within 30 days of filing your claim.

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(c) Attach a list of all states where the applicant operates as a worker leasing company. All worker leasing companies operating in Oregon must have a full license (see "Application process" below), unless eligible for a limited license.An applicant must file this form to obtain an initial license. Supporting statements and attachments. Complete every applicable entry space on Form 1120. 701.035 Applicant required to be independent contractor to be eligible for license; classes of licenses. Creating a 600-hour program for a new (non-chemical) hairstylist license. (b) Ownership information, including a request to complete and sign a change of ownership form;. • Foster children. And attach a copy of its current IRS tax exemption certificate to the application.

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Attachment C to Application for Oregon Worker Leasing License