Work Share Weekly Claims

NOTICE:
Work Share claimants can continue using accrued leave after December 26, 2020. Until further notice, the deadline in temporary rule OAR 471-030-0036(3)(f)(A) does not apply.

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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