Work Share Weekly Claims

NOTICE:
Complete and turn in all claims, corrections, and certifications to the Employment Department no later than seven days after the end of the week for which benefits are claimed. That includes completed claim certifications with earnings for another employer or missed work opportunities.

Complete y entregue todos los reclamos, correcciones y certificaciones al Departamento de Empleo a más tardar siete días después del final de la semana para la cual se reclaman los beneficios. Eso incluye certificaciones de reclamos completadas con ganancias para otro empleador u oportunidades laborales perdidas.

Today's Date*

Oregon Business Identification Number (BIN)*

Business Name*

Employer Representative's Name*

Employer Representative Email Address

Employer Representative Telephone Number*
Please include the area code

Attached are claims for the week ending:*
This date should always be a Saturday

File Attachments*

Employer Comments
790 character limit

Send me a copy of my responses

Email address

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